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Organization
NUVO DENTAL
Active
Organization
NUVO DENTAL
Active
Other names
AAVA DENTAL OF UNION CITY A MERCEDES LEONCIO DENTAL GROUP INC
Organization subpart
No
Provider details
NPI number
Authorized official
YAHYA MANSOUR (OWNER)
(817) 529-8151
Entity
Organization
Contact information
Practice address
31780 ALVARADO BLVD, UNION CITY, CA 94587-5800
(817) 529-8151
(817) 529-8156
Mailing address
31780 ALVARADO BLVD, UNION CITY, CA 94587
(817) 529-8151
(817) 529-8156
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
58012
CA
Other
Enumeration date
07/05/2013
Last updated
10/21/2013
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