Organization
BIG SMILE DENTAL GROUP, PC BY EVANGELINE M. MEMORACION D.D.S.
Active
Other names
Big Smile Dental
Organization subpart
No
Provider details
NPI number
Authorized official
EVANGELINE MEMORACION D.D.S. (OWNER)
(408) 600-5722
Entity
Organization
Contact information
Practice address
22429 FOOTHILL BLVD, HAYWARD, CA 94541-4024
(408) 600-5722
Mailing address
22429 FOOTHILL BLVD, HAYWARD, CA 94541-4024
(408) 600-5722
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
56995
CA
Other
Enumeration date
10/28/2015
Last updated
10/28/2015
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