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Organization
NELSON DIABLO VALLEY DENTAL CORPORATION
Active
Organization
NELSON DIABLO VALLEY DENTAL CORPORATION
Active
Other names
Enhance Oral Surgery
Organization subpart
No
Provider details
NPI number
Authorized official
AYREN ENGELHARDT (DIR OF PROCESS DEV)
(916) 702-1213
Entity
Organization
Contact information
Practice address
400 EL CERRO BLVD STE 202, DANVILLE, CA 94526-1731
(916) 702-1213
Mailing address
400 EL CERRO BLVD STE 202, DANVILLE, CA 94526-1731
(916) 702-1213
Taxonomy
Speciality
Code
Description
License number
State
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
—
—
Other
Enumeration date
09/11/2026
Last updated
09/11/2026
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