Afamilyfriend Teledentistry

LBN: Afamilyfriend Teledentistry
Afamilyfriend Teledentistry is an health care organization with primary practice located at 855 Marina Bay Pkwy , Richmond CA 94804-6497. The organization recently has 3 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Dental Public Health, Ambulatory Health Care Facilities / Health Service. Ambulatory Health Care Facilities / Health Service is the primary health care specialty. Afamilyfriend Teledentistry can be contacted via phone (707) 727-8326, or through Pascua, Gary via phone (760) 436-3335.

Contact Information

Primary practice address
855 Marina Bay Pkwy Richmond CA 94804-6497
Phone: (707) 727-8326
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Pascua, Gary
Phone: (760) 436-3335

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X
Dental Providers / Dental Public Health 1223D0001X
Ambulatory Health Care Facilities / Health Service 261QH0100X

Profile Details

NPI number 1417685041
LBN Legal business name Afamilyfriend Teledentistry
DBA Doing business as
Authorized official Pascua, Gary
Entity Organization
Organization subpart 1 No
Enumeration date Aug 11th, 2022
Last updated Aug 31st, 2022 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1417685041 NPPES
California Other E2797118 DRIVING LICENSE
California Other C1120725 DRIVING LICENSE

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