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Organization

SIERRA KRESS DENTAL

Active
Other names
Creative Dimensions in Dentistry
Organization subpart
No

Provider details

NPI number
Authorized official
DR. KEVIN JAMES CABUGAO DDS (OWNER)
(707) 529-6576
Entity
Organization

Contact information

Practice address
20265 LAKE CHABOT RD, CASTRO VALLEY, CA 94546-5307
(510) 881-8010
Mailing address
11 DUFFY CT, PLEASANT HILL, CA 94523-1707
(707) 529-6576

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary

Other

Enumeration date
12/23/2022
Last updated
12/23/2022
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