Organization
MENCITA DABU MASANGKAY DMD INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MENCITA DABU MASANGKAY DMD (DENT/OWNERIST)
(510) 741-7788
Entity
Organization
Contact information
Practice address
500 ALFRED NOBEL DR STE 145, HERCULES, CA 94547-1839
(510) 741-7788
(519) 741-7705
Mailing address
500 ALFRED NOBEL DR STE 145, HERCULES, CA 94547-1839
(510) 741-7788
(519) 741-7705
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
44028
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
522631
DENTICAL PIN
CA
01
—
G93406-01
DENTICAL PROVIDER ID
CA
Enumeration date
10/16/2007
Last updated
10/16/2007
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