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Organization
JAIME V. EVANGELISTA JR, D.M.D, INC.
Active
Organization
JAIME V. EVANGELISTA JR, D.M.D, INC.
Active
Other names
Gateway Plaza Dental Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAIME VICTORES EVANGELISTA JR. D.M.D. (DENTIST)
(510) 887-6835
Entity
Organization
Contact information
Practice address
24901 SANTA CLARA ST, SUITE B-2, HAYWARD, CA 94544-2147
(510) 887-6835
(510) 887-2872
Mailing address
24901 SANTA CLARA ST, SUITE B-2, HAYWARD, CA 94544-2147
(510) 887-6835
(510) 887-2872
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
37103
CA
Other
Enumeration date
10/26/2006
Last updated
08/22/2020
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