Organization
BLACKHAWK DENTAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARIA TEFFT (PRACTICE ADMINISTRATOR)
(925) 736-3600
Entity
Organization
Contact information
Practice address
3880 BLACKHAWK RD STE 100, DANVILLE, CA 94506-4692
(925) 736-3600
(925) 736-4327
Mailing address
3880 BLACKHAWK RD STE 100, DANVILLE, CA 94506-4692
(925) 736-3600
(925) 736-4327
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
05/05/2021
Last updated
05/05/2021
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