Jishen Na, D.d.s. Inc | |
40928 Fremont Blvd Fremont CA 94538-4375 | |
(510) 656-9998 | |
Not Available |
Full Name | Jishen Na, D.d.s. Inc |
---|---|
Speciality | Dentist - General Practice |
Location | 40928 Fremont Blvd, Fremont, California |
Authorized Official Name and Position | Jishen Na (CHAIRMAN) |
Authorized Official Contact | 5106569998 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Jishen Na, D.d.s. Inc 40928 Fremont Blvd Fremont CA 94538-4375 Ph: (510) 656-9998 | Jishen Na, D.d.s. Inc 40928 Fremont Blvd Fremont CA 94538-4375 Ph: (510) 656-9998 |
NPI Number | 1023221595 |
---|---|
Provider Enumeration Date | 05/08/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1023221595 | NPI | - | NPPES |
1710108717 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 45933 (California) | Primary |
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