Organization
CONTRA COSTA COMMUNITY COLLEGE DISTRICT
Active
Other names
Diablo Valley College Dental Hygiene Dept
Organization subpart
No
Provider details
NPI number
Authorized official
VICTORIA LYNN DAY DDS (SUPERVISING DENTIST)
(925) 685-1230
Entity
Organization
Contact information
Practice address
321 GOLF CLUB RD, LHS 102, PLEASANT HILL, CA 94523-1529
(925) 685-1230
(925) 689-6529
Mailing address
321 GOLF CLUB RD, LHS 102, PLEASANT HILL, CA 94523-1529
(925) 685-1230
(925) 689-6529
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G9080301
MEDI-CAL
CA
Enumeration date
11/08/2005
Last updated
08/22/2020
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