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Organization

AMADOR VALLEY DENTAL X-RAY INC.

Active
Other names
C&G DENTAL X-RAY
Organization subpart
No

Provider details

NPI number
Authorized official
NANCY FURTADO (VICE PRES.)
(925) 846-9291
Entity
Organization

Contact information

Practice address
1475 CEDARWOOD LN STE D, PLEASANTON, CA 94566-6128
(925) 846-9291
(925) 846-9260
Mailing address
1475 CEDARWOOD LN STE D, PLEASANTON, CA 94566-6128
(925) 846-9291
(925) 846-9260

Taxonomy

Speciality
Code
Description
License number
State
247100000X
Radiologic Technologist
RHP00041624
CA
2471C3401X
Computed Tomography Radiologic Technologist
RHP00041624
CA
2471C3402X
Radiography Radiologic Technologist
Primary
RHP00041624
CA

Other

Enumeration date
06/06/2012
Last updated
06/06/2012
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