Organization
PARKSIDE DENTAL CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. AVRIL MAY ALTMAN (INSURANCE COORDINATOR)
(707) 427-2222
Entity
Organization
Contact information
Practice address
1325 TRAVIS BLVD, FAIRFIELD, CA 94533-4611
(707) 427-2222
(707) 427-0562
Mailing address
1325 TRAVIS BLVD, FAIRFIELD, CA 94533-4611
(707) 427-2222
(707) 427-0562
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
48710
CA
1223G0001X
General Practice Dentistry
27964
CA
1223G0001X
General Practice Dentistry
28479
CA
1223G0001X
General Practice Dentistry
30117
CA
1223G0001X
General Practice Dentistry
51677
CA
1223P0300X
Periodontics
49443
CA
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
19300
CA
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
45580
CA
Other
Enumeration date
01/23/2007
Last updated
09/11/2025
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