Organization
CHABOT-LAS POSITAS COMMUNITY COLLEGE DISTRICT
Active
Other names
Chabot College Dental Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MS. NANCY CHEUNG RDA, RDH, MPA/HSA (PROGRAM DIRECTOR)
(510) 723-6951
Entity
Organization
Contact information
Practice address
25555 HESPERIAN BLVD, BUILDING #2200, HAYWARD, CA 94545
(510) 723-6900
(510) 723-7089
Mailing address
7600 DUBLIN BLVD, 3RD FLOOR, DUBLIN, CA 94568-7040
(925) 485-5208
(510) 723-7089
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
CA
261QD0000X
Dental Clinic/Center
—
—
Other
Enumeration date
12/18/2006
Last updated
01/22/2021
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