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Organization

SHAYNA RONDON DDS INC

Active
Other names
Periodontal Associates
Organization subpart
No

Provider details

NPI number
Authorized official
DR. SHAYNA RONDON DDS MS (PRESIDENT)
(925) 449-6633
Entity
Organization

Contact information

Practice address
1171 MURRIETA BLVD, SUITE 200, LIVERMORE, CA 94550-4143
(925) 449-6633
(925) 449-0766
Mailing address
1171 MURRIETA BLVD, SUITE 200, LIVERMORE, CA 94550-4143
(925) 449-6633
(925) 449-0766

Taxonomy

Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
59292
CA

Other

Enumeration date
12/10/2014
Last updated
12/10/2014
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