Organization
BELLA DENTAL, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUSAN OH D.D.S. (VICE PRESIDENT)
(510) 483-2670
Entity
Organization
Contact information
Practice address
250 JUANA AVE, STE 102, SAN LEANDRO, CA 94577-4841
(510) 483-2670
(510) 483-1566
Mailing address
250 JUANA AVE, STE 102, SAN LEANDRO, CA 94577-4841
(510) 483-2670
(510) 483-1566
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
57905
CA
Other
Enumeration date
04/15/2010
Last updated
04/15/2010
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