Carlene A Mendieta Dds

LBN: Carlene A Mendieta Dds
Carlene A Mendieta Dds is an health care organization with primary practice located at 1420 Tara Hills Dr #C, Pinole CA 94564-2530. The organization recently has only one registered license in Dental Providers / Periodontics, which is considered as the primary health care specialty. Carlene A Mendieta Dds can be contacted via phone (510) 724-8441, or through Mendieta, Carlene A via phone (510) 724-8441.

Contact Information

Primary practice address
1420 Tara Hills Dr #C Pinole CA 94564-2530
Phone: (510) 724-8441
Fax: (510) 724-0120
Website:
Map and Directions
Authorized official contact:
Name: Mendieta, Carlene A Doctor of Dental Surgery (DDS)
Phone: (510) 724-8441

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Periodontics 1223P0300X DA34741 California

Profile Details

NPI number 1780668020
LBN Legal business name Carlene A Mendieta Dds
DBA Doing business as
Authorized official Mendieta, Carlene A Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 30th, 2005
Last updated Jul 14th, 2008 - about 16 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 1780668020 NPPES
California Other DA34741 LICENSE NUMBER

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