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Organization
NORTH SHORE DENTAL LLC
Active
Organization
NORTH SHORE DENTAL LLC
Active
Other names
Betty J. Fong Corp
Organization subpart
No
Provider details
NPI number
Authorized official
TUONG-VAN B. HYLAND DDS (CEO, DDS)
(510) 741-2140
Entity
Organization
Contact information
Practice address
500 ALFRED NOBEL DR., SUITE 240, HERCULES, CA 94547
(510) 741-2140
(510) 741-2142
Mailing address
500 ALFRED NOBEL DR., SUITE 240, HERCULES, CA 94547
(510) 741-2140
(510) 741-2142
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
35608
CA
122300000X
Dentist
Primary
45843
CA
Other
Enumeration date
06/30/2009
Last updated
06/30/2009
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