Organization
COMMUNITY DENTAL SERVICES
Active
Parent organization
COMMUNITY DENTAL SERVICES
Other names
SmileCare Dental Group
Organization subpart
Yes
Provider details
NPI number
Legal business name
COMMUNITY DENTAL SERVICES
Authorized official
MRS. ELAINE SALCIDO (CONTRACT SUPERVISOR)
(714) 708-5308
Entity
Organization
Contact information
Practice address
36416 FREMONT BLVD, FREMONT, CA 94536-7436
(510) 739-3889
(510) 739-2373
Mailing address
2 MACARTHUR PL, SUITE 700, SANTA ANA, CA 92707-5924
(714) 708-5308
(714) 708-5399
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
11/15/2006
Last updated
07/14/2011
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