Organization
BRUCE AHTYE DDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRUCE AHTYE DDS (OWNER)
(510) 881-1611
Entity
Organization
Contact information
Practice address
20099 REDWOOD RD, CASTRO VALLEY, CA 94546-4326
(510) 881-1611
Mailing address
20099 REDWOOD RD, CASTRO VALLEY, CA 94546-4326
(510) 881-1611
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
46564
CA
Other
Enumeration date
08/03/2014
Last updated
08/03/2014
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