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Organization

RICHARD C. EVANGELISTA D.D.S., INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. RICHARD EVANGELISTA DDS (PRESIDENT)
(925) 789-0575
Entity
Organization

Contact information

Practice address
6111 JOHNSON CT STE 201, PLEASANTON, CA 94588-3331
(925) 924-9900
Mailing address
6111 JOHNSON CT STE 201, PLEASANTON, CA 94588-3331
(925) 924-9900

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
47258
CA

Other

Enumeration date
06/01/2017
Last updated
06/01/2017
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