Organization
CASTRO VALLEY DENTAL CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CAROL ANN LEONARD (OFFICE MANAGER)
(510) 881-1924
Entity
Organization
Contact information
Practice address
3603 JAMISON WAY, CASTRO VALLEY, CA 94546
(510) 881-1924
Mailing address
3603 JAMISON WAY, CASTRO VALLEY, CA 94546-4303
(510) 881-1924
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
57136
CA
Other
Enumeration date
07/13/2017
Last updated
07/21/2022
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