PACIFIC BAY PEDIATRIC DENTISTRY NPI 1245549195

NPI Information

PACIFIC BAY PEDIATRIC DENTISTRY is a pediatric dentistry dentist in Fremont, CA. The provider is an age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. PACIFIC BAY PEDIATRIC DENTISTRY NPI is 1245549195. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

39572 STEVENSON PL STE 123
FREMONT, CA
ZIP 94539-109
Phone: (510) 404-8033

The provider's authorized official is Noor Bilbeisi .
The authorized official title is Owner and has the following contact phone number (732) 983-1661.

The enumeration date for this NPI number is 9/27/2010 and was last updated on 9/27/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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