Organization
EXCONDE-EVANGELISTA DENTAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MA ROSARIO EXCONDE DDS (DENTIST)
(415) 866-4318
Entity
Organization
Contact information
Practice address
24901 SANTA CLARA ST # B2, HAYWARD, CA 94544-2147
(510) 887-6835
(510) 887-2872
Mailing address
24901 SANTA CLARA ST # B2, HAYWARD, CA 94544-2147
(510) 887-6835
(510) 887-2872
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
02/12/2019
Last updated
02/12/2019
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