Organization
SO & VALDEZ, A PROFESSIONAL DENTAL CORPORATIOM
Active
Other names
Pediatric Oral Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PATRICK TING SO DDS (CO-OWNER)
(510) 418-3519
Entity
Organization
Contact information
Practice address
847 SAN PABLO AVE, ALBANY, CA 94706-1602
(510) 418-3519
Mailing address
847 SAN PABLO AVE, ALBANY, CA 94706-1602
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
58408
CA
1223P0221X
Pediatric Dentistry
59271
CA
Other
Enumeration date
08/06/2013
Last updated
08/06/2013
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