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Carlene A Mendieta Dds
Periodontist in Pinole, California
NPI 1780668020

Carlene A Mendieta Dds is a Periodontist based in Pinole, CA and is specialized in Periodontics. Carlene A Mendieta Dds practices in Pinole, CA. The NPI Number for Carlene A Mendieta Dds is 1780668020 and holds a License No. DA34741 (California).

The current practice location address for Carlene A Mendieta Dds is 1420 Tara Hills Dr, Pinole, CA and can be reached out via phone at 510-724-8441 and via fax at 510-724-0120.

Location: 1420 Tara Hills Dr, Pinole, CA, 94564-2530
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1780668020
Provider Name
Carlene A Mendieta Dds
Credential
Provider Entity Type
Organization
Address
1420 Tara Hills Dr, Pinole, CA, 94564-2530
Phone Number
510-724-8441
Fax Number
510-724-0120
Provider Enumeration Date
11/30/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
DA34741 01 CA LICENSE NUMBER
institution
Provider Business Practice Location Address Details
Address
1420 Tara Hills Dr
City
Pinole
State
California
Zip
94564-2530
Phone Number
510-724-8441
Fax Number
510-724-0120
person
Provider Business Mailing Address Details
Address
1420 Tara Hills Dr
City
Pinole
State
California
Zip
94564-2530
Phone Number
510-724-8441
Fax Number
510-724-0120
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Periodontics
Taxonomy
1223P0300X
License No.
DA34741 (California)
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
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