Organization
NORTH BERKELEY DENTAL ARTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NORMA ICARANGAL (ACCOUNTING EXECUTIVE)
(510) 526-6574
Entity
Organization
Contact information
Practice address
901 VENTURA AVE, ALBANY, CA 94707-2122
(510) 526-1757
(510) 526-3397
Mailing address
901 VENTURA AVE, ALBANY, CA 94707-2122
(510) 526-1757
(510) 526-3397
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
20885
CA
122300000X
Dentist
46869
CA
122300000X
Dentist
50183
CA
1223P0300X
Periodontics
Primary
50151
CA
1223P0700X
Prosthodontics
20885
CA
Other
Enumeration date
04/06/2007
Last updated
09/11/2025
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