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Organization
PERFECT SMILES FAMILY DENTISTRY
Active
Organization
PERFECT SMILES FAMILY DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROCHELLE KENNEDY BARACEROS (MANAGING PARTNER)
(925) 833-8702
Entity
Organization
Contact information
Practice address
9260 ALCOSTA BLVD, SUITE B-10, SAN RAMON, CA 94583-4134
(925) 833-8702
(925) 833-3750
Mailing address
9260 ALCOSTA BLVD, SUITE B-10, SAN RAMON, CA 94583-4134
(925) 833-8702
(925) 833-3750
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
55561
CA
Other
Enumeration date
12/19/2007
Last updated
12/19/2007
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