Organization
HESPERIAN DENTAL GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN GALVAN (ADMINISTRATOR)
(408) 627-1628
Entity
Organization
Contact information
Practice address
17760 HESPERIAN BLVD, SAN LORENZO, CA 94580-3037
(510) 363-8826
(510) 363-8796
Mailing address
17760 HESPERIAN BLVD, SAN LORENZO, CA 94580-3037
(510) 363-8826
(510) 363-8796
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
01/24/2024
Last updated
01/24/2024
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