Organization
DR JAIME V. EVANGELISTA JR., DMD
Active
Other names
gateway plaza dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAIME V EVANGELISTA JR. DMD (DENTIST)
(510) 887-6835
Entity
Organization
Contact information
Practice address
24901 SANTA CLARA ST # B2, HAYWARD, CA 94544-2147
(510) 887-6835
(510) 887-2872
Mailing address
24901 SANTA CLARA ST # B2, HAYWARD, CA 94544-2147
(510) 887-6835
(510) 887-2872
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
37103
CA
Other
Enumeration date
02/11/2016
Last updated
02/11/2016
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