Organization
DENTAL CENTER IMAGING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GREGORY HAYNES (PRESIDENT)
(510) 893-8027
Entity
Organization
Contact information
Practice address
3300 WEBSTER ST, SUITE #904, OAKLAND, CA 94609-3117
(510) 893-8027
Mailing address
3300 WEBSTER ST, SUITE #904, OAKLAND, CA 94609-3117
(510) 893-8027
Taxonomy
Speciality
Code
Description
License number
State
247100000X
Radiologic Technologist
Primary
RHO 43273
CA
Other
Enumeration date
06/05/2008
Last updated
06/05/2008
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