Provider Demographics
NPI:1558607739
Name:MACIAS, CESAR (DDS)
Entity Type:Individual
Prefix:DR
First Name:CESAR
Middle Name:
Last Name:MACIAS
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1357 BUCHANAN RD
Mailing Address - Street 2:
Mailing Address - City:PITTSBURG
Mailing Address - State:CA
Mailing Address - Zip Code:94565-6406
Mailing Address - Country:US
Mailing Address - Phone:925-698-1345
Mailing Address - Fax:
Practice Address - Street 1:1357 BUCHANAN RD
Practice Address - Street 2:
Practice Address - City:PITTSBURG
Practice Address - State:CA
Practice Address - Zip Code:94565-6406
Practice Address - Country:US
Practice Address - Phone:925-698-1345
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-12-17
Last Update Date:2012-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA620721223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice