Grace Cabildo-rivera A Professional Dental Corporation
Dental Clinic
4847 Lone Tree Way Ste B, Antioch
California, 94531-8612
925-755-4040 925-755-4041
Maps & DirectionsGrace Cabildo-rivera A Professional Dental Corporation is a Dental Clinic in Antioch, California. It is located at 4847 Lone Tree Way Ste B, Antioch, CA and its contact number is 925-755-4040. The authorized person for Grace Cabildo-rivera A Professional Dental Corporation is Grace Cabildo Rivera
who is Doctor/owner of the clinic and their contact number is 925-755-4040. The primary license number for Grace Cabildo-rivera A Professional Dental Corporation is 48364 (General Practice) in California.
Grace Cabildo-rivera A Professional Dental Corporation Clinic caters to patients of all ages for their dental care needs. Dentists at the clinic are responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Clinic Profile:
Grace Cabildo-rivera A Professional Dental Corporation Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | Grace Cabildo-rivera A Professional Dental Corporation |
| Specialization: | General Practice Dentistry |
| Clinic Address: | 4847 Lone Tree Way Ste B, Antioch,
California, 94531-8612 |
| Phone: | 925-755-4040 |
| Fax: | 925-755-4041 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
| Name: | Grace Cabildo Rivera |
| Position: | Doctor/owner |
| Contact Number: | 925-755-4040 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Grace Cabildo-rivera A Professional Dental Corporation clinic are as mentioned below.
| NPI Number: | 1215953112 |
| NPI Enumeration Date: | 14 Jul, 2006 |
| NPI Last Update On: | 02 Oct, 2008 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Grace Cabildo-rivera A Professional Dental Corporation are as mentioned below.
| Specialization | License Number | State | Status | |
| General Practice | 48364 | California | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 341996792 | Other | California | Old Tax I.d Number |
| B48364-01 | Other | California | Healthy Families Provider |
| 1332285 | Other | California | United Concordia Provider |
| G9337801 | Medicaid | California | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Grace Cabildo-rivera A Professional Dental Corporation
4847 Lone Tree Way Ste B,
Antioch, California |
| Zip: | 94531-8612 |
| Phone Number: | 925-755-4040 |
| Fax Number: | 925-755-4041 |
Patients can reach Grace Cabildo-rivera A Professional Dental Corporation at
4847 Lone Tree Way Ste B, Antioch, California or can
call to book an appointment on 925-755-4040.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.