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Organization
SIERRA KRESS DENTAL
Active
Organization
SIERRA KRESS DENTAL
Active
Other names
Creative Dimensions in Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEVIN JAMES CABUGAO DDS (OWNER)
(707) 529-6576
Entity
Organization
Contact information
Practice address
20265 LAKE CHABOT RD, CASTRO VALLEY, CA 94546-5307
(510) 881-8010
Mailing address
11 DUFFY CT, PLEASANT HILL, CA 94523-1707
(707) 529-6576
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
12/23/2022
Last updated
12/23/2022
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