Organization
TERECITA DEAN, D.D.S.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TERECITA DEAN (OWNER)
(510) 522-0878
Entity
Organization
Contact information
Practice address
2017 CENTRAL AVE, ALAMEDA, CA 94501-4210
(510) 522-0878
(510) 522-0894
Mailing address
2017 CENTRAL AVE, ALAMEDA, CA 94501-4210
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
37095
CA
332BC3200X
Customized Equipment (DME)
Primary
37095
CA
Other
Enumeration date
02/11/2011
Last updated
02/11/2011
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