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Organization
VILLAGE SQUARE DENTAL CENTER, INC.
Active
Organization
VILLAGE SQUARE DENTAL CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARIA LIGAYA BRAVO (DENTIST)
(925) 875-9700
Entity
Organization
Contact information
Practice address
8265 VILLAGE PKWY, STE. E, DUBLIN, CA 94568-1254
(925) 875-9700
Mailing address
8265 VILLAGE PKWY, STE. E, DUBLIN, CA 94568-1254
(925) 875-9700
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
46092
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1962629097
—
CA
Enumeration date
04/03/2017
Last updated
04/03/2017
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