New City Dental Practice

LBN: Grace Cabildo-Rivera A Professional Dental Corporation
New City Dental Practice is an health care organization with primary practice located at 4847 Lone Tree Way Ste B , Antioch CA 94531-8612. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Grace Cabildo-Rivera A Professional Dental Corporation can be contacted via phone (925) 755-4040, or through Rivera, Grace Cabildo via phone (925) 755-4040.

Contact Information

Primary practice address
4847 Lone Tree Way Ste B Antioch CA 94531-8612
Phone: (925) 755-4040
Fax: (925) 755-4041
Website:
Map and Directions
Authorized official contact:
Name: Rivera, Grace Cabildo Doctor of Dental Surgery (DDS)
Phone: (925) 755-4040

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 48364 California

Profile Details

NPI number 1215953112
LBN Legal business name Grace Cabildo-Rivera A Professional Dental Corporation
DBA Doing business as New City Dental Practice
Authorized official Rivera, Grace Cabildo Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 14th, 2006
Last updated Oct 2nd, 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 1215953112 NPPES
California Other 341996792 OLD TAX I.D NUMBER
California Other B48364-01 OLD TAX I.D NUMBER
California Other 1332285 OLD TAX I.D NUMBER
California MEDICAID G9337801 OLD TAX I.D NUMBER

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