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Organization
HYATT SUBIDO DENTAL GROUP, INC, A PROFESSIONAL CORPORATION
Active
Organization
HYATT SUBIDO DENTAL GROUP, INC, A PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANDREW SUBIDO D.D.S. (C.E.O./PRESIDENT)
(415) 205-2402
Entity
Organization
Contact information
Practice address
428 MAGNOLIA AVE, LARKSPUR, CA 94939-2035
(415) 924-7900
Mailing address
428 MAGNOLIA AVE, LARKSPUR, CA 94939-2035
(415) 924-7900
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
07/27/2026
Last updated
07/27/2026
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