Atienza Family Dental Corporation
Organization Active NPI Dentist · Newark, CA
NPI 1124319652 · NPPES record last updated May 2, 2011
Key facts
- NPI
- 1124319652
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Dentist 122300000X
- License
- 40786 (CA)
- Legal business name
- ATIENZA FAMILY DENTAL CORPORATION
- Practice address
- 37070 Newark Blvd Ste C
Newark, CA 94560-3798 - Phone
- (510) 793-2665
- Fax
- (510) 793-2695
- NPI assigned
- May 2, 2011
- Organization subpart
- No
Authorized official
- Name
- Dr. Regis M Atienza Jr., DMD
- Title
- Owner
- Phone
- (510) 205-6151
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist |
122300000X | 40786 | CA | Yes |
Addresses
Primary practice location
37070 Newark Blvd Ste C
Newark, CA 94560-3798
Mailing address
37070 Newark Blvd Ste C
Newark, CA 94560-3798
Phone (510) 793-2665
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 40786 | Other | CA | DENTAL LICENSE NUMBER |
Other providers in Newark, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 2, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.