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Organization
S. T. BANATAO DDS INC.
Active
Organization
S. T. BANATAO DDS INC.
Active
Other names
ROSEMONT FAMILY DENTAL CARE
Organization subpart
No
Provider details
NPI number
Authorized official
SOFRONIO TOLENTINO BANATAO DDS (CEO)
(510) 796-3441
Entity
Organization
Contact information
Practice address
35124 NEWARK BLVD, NEWARK, CA 94560-1220
(510) 796-3441
(510) 796-3475
Mailing address
35124 NEWARK BLVD, NEWARK, CA 94560-1220
(510) 796-3441
(510) 796-3475
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
02/13/2020
Last updated
02/13/2020
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