Organization
EVANGELISTA DENTAL GROUP WALNUT CREEK, PC
Active
Other names
Olympic Dental Walnut Creek
Organization subpart
No
Provider details
NPI number
Authorized official
CASEY CASTLE (DIRECTOR OF PAYOR CONTRACTING)
(912) 732-1504
Entity
Organization
Contact information
Practice address
1901 OLYMPIC BLVD STE 105, WALNUT CREEK, CA 94596-5024
(925) 935-3030
Mailing address
1901 OLYMPIC BLVD STE 105, WALNUT CREEK, CA 94596-5024
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
05/12/2026
Last updated
05/12/2026
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