Organization
PACIFIC BAY PEDIATRIC DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NOOR BILBEISI DDS (OWNER)
(732) 983-1661
Entity
Organization
Contact information
Practice address
39572 STEVENSON PL STE 123, FREMONT, CA 94539-3109
(510) 404-8033
Mailing address
39572 STEVENSON PL STE 123, FREMONT, CA 94539-3109
(510) 404-8033
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
56548
CA
Other
Enumeration date
09/27/2010
Last updated
09/27/2010
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