Kaiser Permanente Senior Advantage (HMO)Northern California

Enjoy every health advantage

Advantage PlusDental, hearing, extra vision, and fitness benefits

2014 Enrollment Brochure

H0524_010021_NCAL accepted

Be healthy. Be vibrant.Now you can add affordable dental, hearing, extra vision, and fitness benefits to your Kaiser Permanente Senior Advantage plan.

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For a fast, easy overview of Advantage Plus, just follow steps A, B, and C. See the table of contents on page 3 to learn more about Advantage Plus and everything it provides.

Quick Start Guide

A Go to page 2 for a quick look at how Advantage Plus makes it easy to expand your health care coverage. For more detailed information about Advantage Plus benefits, go to page 21.

B Turn to “Benefits at a glance” on page 5 for a summary of the dental, hearing, extra vision, and fitness benefits of Advantage Plus.

C Apply for coverage by filling out one of the enrollment forms in the center of this brochure.

If you have questions, please call us toll free at 1-800-443-0815 (TTY 711 for the hearing/speech impaired), seven days a week, 8 a.m. to 8 p.m.

GET STARTED HERE.

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As a Kaiser Permanente Senior Advantage member, you enjoy the ease of combining your Medicare coverage with Kaiser Permanente coverage in a single plan. Now, with Advantage Plus, you can get a wealth of valuable dental, hearing, extra vision, and fitness benefits added to your plan. So all of your health benefits are in one convenient package. More health coverage. More value.

• Advantage Plus works together with your Senior Advantage plan to give you affordable dental, hearing, extra vision, and fitness care, all through a convenient and trusted source — Kaiser Permanente and our health care partners.

• Save time and money by eliminating the need to shop around for dental, hearing, extra vision, and fitness benefits separately.

• One bill — for both your Senior Advantage and Advantage Plus coverage — makes taking care of your health easier than ever. If you prefer, your payment can be made through a monthly electronic funds transfer.

You deserve the total health care that’s yours through Senior Advantage with Advantage Plus. It’s one more way we can help you live a more vibrant life.

Advantage Plus

A BENEFITS PACKAGE FOR A HEALTHIER, MORE VIBRANT YOU.

Kaiser Permanente is an HMO plan with a Medicare contract. Enrollment in Kaiser Permanente depends on contract renewal. Benefits, formulary, pharmacy network, provider network, premium and/or copayments/coinsurance may change on January 1 of each year. The benefit information provided is a brief summary, not a complete description of benefits. For more information contact the plan. Limitations, copayments, and restrictions may apply. You must be a Kaiser Permanente Senior Advantage member to apply, and you must continue to pay applicable Senior Advantage and Medicare Part B premiums and any other applicable Medicare premium(s), if not otherwise paid by Medicaid or another third party. You must reside in the Kaiser Permanente Medicare health plan service area in which you enroll.

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TABLE OF CONTENTS

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Page

Benefits at a glance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5

Dental coverage . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6 Frequently asked questions . . . . . . . . . . . . . . . . . . . . . . . . . 7

Hearing coverage . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9 Frequently asked questions . . . . . . . . . . . . . . . . . . . . . . . . . . 10 Kaiser Permanente Hearing Centers . . . . . . . . . . . . . . . . . . . 11

Vision coverage . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12 Frequently asked questions . . . . . . . . . . . . . . . . . . . . . . . . . . 13

Fitness benefit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14 Frequently asked questions . . . . . . . . . . . . . . . . . . . . . . . . . . 17

How to apply for coverage . . . . . . . . . . . . . . . . . . . . . . 20

Information you need to know. . . . . . . . . . . . . . . . . . . 21 Enrollment and disenrollment . . . . . . . . . . . . . . . . . . . . . . . . 21

Dental directory . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22

4Member Service Contact Center: 1-800-443-0815 (TTY 711), seven days a week, 8 a.m. to 8 p.m.

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1Advantage Plus gives you the choice to add more benefits to your Senior Advantage plan. The Advantage Plus package is optional, so if you want to receive these benefits, be sure to fill out the Advantage Plus enrollment form in the center of this booklet. To learn more about how to enroll, please see “How to apply for coverage” on page 20.

This chart shows the key dental, hearing, extra vision, and fitness benefits you receive when you add Advantage Plus to your Senior Advantage plan. For all four benefits, you pay a $20 monthly premium, which is added to your monthly Senior Advantage premium.

BENEFITS AT A GLANCE.

Senior Advantage coverage only

Advantage Plus coveragecombined with Senior Advantage

DENTAL

Dental services are generally not covered except for dental services necessary for radiation therapy, as covered by Medicare.1

Key dental benefits1:$10 per office visit that includes the following:One cleaning every six months. (Two cleanings within a six-month period are covered if authorized.)Oral examinations.Comprehensive periodontal evaluations.Most X-rays.Coverage for periodontics from $71 to $595 (in addition to the office visit copay).Coverage for dentures from $46 to $923 (in addition to the office visit copay).$125 per arch for teeth whitening (external bleaching) in addition to the office visit copay.

HEARING AIDS

Hearing aids are generally not covered except for certain implanted hearing devices covered by Medicare, which are provided at no additional charge.1

$350 credit per hearing aid, per ear, every three years. Certain implanted hearing devices covered by Medicare are provided at no additional charge.

VISION

$75 credit every two years. An additional $240. A total credit of $315.

FITNESS

Fitness facility or home exercise benefit through the Silver&Fit® program.

1 See your Evidence of Coverage for information about dental, hearing, and vision services provided under the Senior Advantage individual plan.

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Your dental health is vital to your overall health. Healthy teeth and gums allow you to eat better and feel better — physically and mentally. And nothing engages the people around you like a bright smile

Prevention and treatment of dental problems are important at any stage of life. You may experience more tooth sensitivity or have dental problems as a result of certain medications or health conditions. Regular oral exams not only keep your mouth healthy; they can also help identify medical problems.

Advantage Plus makes it easy to get the dental care you need. Enjoy the power of a healthy smile.

THE POWER OF A HEALTHY SMILE.2

Brushing and flossing are not only important for healthy teeth; they can also help reduce the risk of infection. Bacteria can travel from the mouth to other parts of the body, causing infection — a major cause of failure in joint replacements. With proper oral hygiene, including brushing, flossing, and regular check-ups and cleanings, you can help keep your whole body healthy.

REDUCE YOUR RISK OF INFECTION.

Health Tip:

Member Service Contact Center: 1-800-443-0815 (TTY 711), seven days a week, 8 a.m. to 8 p.m.

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FREQUENTLY ASKED QUESTIONSAdvantage Plus dental benefits are provided through the DeltaCare® USA Dental HMO Program offered by Delta Dental of California.

Q: What is the DeltaCare® USA Dental HMO Program?

A: The DeltaCare USA Dental HMO Program, offered by Delta Dental, provides comprehensive dental care through a convenient network of dentists. These contract dentists are screened to ensure that they maintain Delta Dental’s standards of quality, access, and safety. The network of dental facilities is composed of established dental practices. When you visit your assigned contract dentist, you pay only the applicable copayment for covered benefits (see Chapter 4 in your Senior Advantage Evidence of Coverage). There are no deductibles, no lifetime maximums, and virtually no claim forms under this dental program.

Q: When can I begin to use my dental benefits?

A: Once you receive confirmation of your enrollment in Advantage Plus, you can begin using your dental benefits on your effective date. You will also receive a dental identification card from Delta Dental.

Q: How do I choose my dentist?

A: When enrolling in Advantage Plus, you may select a DeltaCare USA contract dentist from the list of DeltaCare USA contract dentists. You must indicate the contract dentist’s name and contract dentist facility ID number on the enrollment form. If you don’t select a contract dentist or the contract dentist selected becomes unavailable, Delta Dental will ask you to select another contract dentist or assign you to a contract dentist based on your residence ZIP code. For a list of contract dentists, see page 22. Delta Dental is always expanding its network and adding new dentists and areas. For the most up-to-date list of dentists, visit deltadentalins.com/directory.

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Note: It can take a few weeks for the contract dentist you selected to be activated in Delta Dental’s system. If you would like to see your dentist within the first few weeks of your enrollment in Advantage Plus, you should call Delta Dental to confirm that your selected dentist is in their system and accepting patients. For questions about your dentist, call Delta Dental’s Customer Service Department toll free at 1-877-644-1774 (TTY 1-800-735-2929), Monday through Friday, 5 a.m. to 6 p.m.

Q: How do I make an appointment?

A: To make an appointment, simply call your contract dentist’s facility and identify yourself as a DeltaCare USA enrollee. Inquiries regarding availability of appointments and accessibility of dentists should be directed to Delta Dental’s Customer Service Department toll free at 1-877-644-1774 (TTY 1-800-735-2929), Monday through Friday, 5 a.m. to 6 p.m.

You must go to your assigned contract dentist to obtain covered services, except for services provided by a specialist preauthorized by Delta Dental, or for emergency services. Any other treatment is not covered under this dental program.

Q: What happens if I have an emergency?

A: If you need emergency services, you should get in touch with your contract dentist whenever possible. If you do not have an assigned contract dentist yet and you need emergency services, you should contact Delta Dental’s Customer Service Department toll free at 1-877-644-1774 (TTY 1-800-735-2929), Monday through Friday, 5 a.m. to 6 p.m., for help in locating a contract dentist. For additional information about emergency benefits, see your Senior Advantage Evidence of Coverage.

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Q: Can I get a second opinion?

A:You may request a second opinion if you disagree with or question the diagnosis and/or treatment plan determination made by your contract dentist. Delta Dental may also request that you obtain a second opinion to verify the necessity and appropriateness of dental treatment or the application of benefits. For more information, see your Senior Advantage Evidence of Coverage.

Q: What if I need to change my contract dentist?

A:You may change your assigned contract dentist at any time by calling Delta Dental’s Customer Service Department toll free at 1-877-644-1774 (TTY 1-800-735-2929), Monday through Friday, 5 a.m. to 6 p.m.; you must make your request for a contract dentist change before the 21st of the month for the change to be effective the first day of the following month.

You must also complete any treatment in progress, such as (a) partial or full dentures for which final impressions have been taken, (b) completion of root canals, or (c) delivery of crowns when teeth have been prepared, before you change your contract dental facility assignment.

Member Service Contact Center: 1-800-443-0815 (TTY 711), seven days a week, 8 a.m. to 8 p.m.

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Good hearing allows you to participate in life more fully. You’re more confident, more secure, and more connected to your world.

Millions of Americans experience some degree of hearing loss. Among people over 50, it’s the third most common ailment, behind heart disease and arthritis. But now more than ever, hearing loss doesn’t mean that your quality of life has to change. Today’s hearing products are smaller, more effective, and more comfortable than they were in the past.

Hearing benefits from Advantage Plus can help make sure you’re not missing the sounds and conversations that make life more fulfilling.

HEAR WELL. LIVE WELL. 3

Be sure to have your hearing checked by a plan provider. In the meantime, use these questions for a simple self-check of your hearing health:

• Do you often ask people to speak up or repeat themselves?

• Do you have trouble following conversations in a noisy room or understanding speech on the phone?

• Do you have trouble hearing the sound of your telephone, alarm clock, or doorbell?

• Do others complain that your TV or stereo is too loud?

QUICK HEARING SELF-CHECK.

Health Tip:

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Q: Which hearing tests are covered?

A:Your current Kaiser Permanente Senior Advantage plan covers hearing tests that determine the need for hearing correction or to diagnose a suspected hearing problem. Diagnostic audiology tests are provided at the office visit copayment as described in your Senior Advantage Evidence of Coverage. If you suspect you have hearing loss, call the Kaiser Permanente Audiology Department. You will be charged an office visit copayment if the Kaiser Permanente Audiology Department provides you with a diagnostic hearing evaluation.

Advantage Plus covers hearing aid evaluations that determine the appropriate hearing aid and verify that the aid matches the prescription — at no additional charge. Kaiser Permanente Hearing Centers will also test your hearing aids at no additional charge to ensure that they are working properly.

Q: If I have a hearing loss, are hearing aids covered?

A: As a Kaiser Permanente member with the Advantage Plus package, you will receive a $350 credit toward the purchase of a hearing aid in each ear (maximum $700 for both ears). This credit is available once every three years. You will be responsible for the difference between the $350 credit and the price of the hearing aid.

Q: Where can I get my hearing aids?

A:You may use your hearing aid benefit at any of the Kaiser Permanente Hearing Centers throughout Northern California. Locations are listed on the next page.

FREQUENTLY ASKED QUESTIONS

Q: Do I need a referral or special claim form to use my hearing aid benefit?

A: No referrals or claim forms are required for hearing tests or hearing aids.

Q: Are there any limitations to the type or style of hearing aid I can get?

A:You may purchase your hearing aid at one of our Kaiser Permanente Hearing Centers. The audiologist will assist you in choosing the hearing aids that best meet your needs. A complete range of technologies and styles is available, and you will receive a thorough explanation of your test results and recommended treatment options.

Q: What if I have a medical problem with my hearing?

A: If a medical problem is identified during the hearing examination, the Kaiser Permanente Hearing Center audiologist will notify your primary care physician and help you get the appropriate medical follow-up.

Q: What if I need service or repairs on my hearing aids?

A: If you purchased your hearing aid at a Kaiser Permanente Hearing Center, you have up to a three-year manufacturer’s warranty, as well as a one-year loss and damage warranty. If you purchase your hearing aid from a Kaiser Permanente Hearing Center, you may bring it in for repairs and servicing at any of our Northern California locations. Batteries and accessories are not covered under this hearing aid benefit. Contact your local Kaiser Permanente Hearing Center for more details.

The hearing aids that Advantage Plus covers are provided at 18 Kaiser Permanente Hearing Centers in Northern California. Each center offers professional hearing aid services, products, and accessories.

Member Service Contact Center: 1-800-443-0815 (TTY 711), seven days a week, 8 a.m. to 8 p.m.

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KAISER PERMANENTE HEARING CENTERS

CENTRAL VALLEY

Modesto4601 Dale Road, 2nd FloorModesto, CA 95356(209) 735-3193 (866) 735-2922 TTY

Stockton7373 West LaneStockton, CA 95210(209) 476-5437 (800) 735-2922 TTY

DIABLO SERVICE AREA

Walnut Creek710 South Broadway, Suite 209Walnut Creek, CA 94596(925) 295-4327 (925) 295-5177 TTY

EAST BAY

Oakland2923 Webster Street, Suite 201Oakland, CA 94609(510) 752-8330

FRESNO

Fresno1630 E. Shaw Avenue, Suite 124Fresno, CA 93710(559) 448-5640

GREATER ALAMEDA SERVICE AREA

Union City3553 Whipple Rd., Bldg. B, 2nd FloorUnion City, CA 94587(510) 675-2001 (510) 675-2002 TTY

NAPA/SOLANO

Vacaville1 Quality DriveVacaville, CA 95688(707) 624-3400

Vallejo975 Sereno DriveVallejo, CA 94589(707) 651-1055 (800) 735-2922 TTY

NORTH VALLEY

Roseville2120 Professional Drive, Suite 220Roseville, CA 95661(916) 771-6680 (916) 771-6676 TTY

Sacramento3180 Arden Way, Sacramento, CA 95825(916) 977-3277 (916) 977-3282 TTY

REDWOOD CITY

Redwood City1800 Broadway Street, Suite 5Redwood City, CA 94063(650) 299-2977 (800) 735-2922 TTY

SAN FRANCISCO

San Francisco4141 Geary Blvd., 1st FloorSan Francisco, CA 94118(415) 833-8222 (415) 833-2400 TTY

SAN JOSESan Jose5831 Cottle RoadSan Jose, CA 95123(408) 363-4801 (800) 735-2922 TTY

SAN RAFAEL

Novato100 Rowland WaySuite 125Novato, CA 94945(415) 209-2444 (415) 209-2440 TTY

SANTA CLARA

Santa Clara2894 Homestead Rd.Santa Clara, CA 95051(408) 553-6900 (408) 261-3144 TTY

SANTA ROSA

Santa Rosa3333 Mendocino Ave., Suite 240Santa Rosa, CA 95403(707) 566-5201 (707) 566-5259 TTY

SOUTH SACRAMENTOSouth Sacramento7300 Wyndham DriveSacramento, CA 95823(916) 525-6280 (916) 525-6098 TTY

SOUTH SAN FRANCISCO

Daly City15 Southgate Avenue Suite 210Daly City, CA 94015(650) 758-5363 (650) 758-5371 TTY

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Here’s an immediate way to enhance your life: improve your vision. It’s possible that your vision has changed — but you haven’t noticed. An eye exam can show you what you’ve been missing. When you see clearly, daily activities such as driving and reading become noticeably easier.

It’s important to have your eyes checked regularly to identify minor as well as more serious eye problems. Advantage Plus adds to your Senior Advantage vision benefits, giving you more to spend on your glasses or contacts. So you’ll have more choices to help you see a brighter, more vibrant world.

FOCUS ON A HEALTHIER YOU.4

BETTER NIGHT VISION.

Health Tip:

If your night vision isn’t what it used to be, keep these helpful nighttime driving guidelines in mind:

• Drive more slowly, so that you have more time to react.

• Keep your windshield and all the lights on your car clean.

• Ask your eye care professional about getting anti-reflective coating on your eyeglass lenses to cut down on glare.

• Check with your doctor to find out if any medications you are taking can affect your night vision.

Member Service Contact Center: 1-800-443-0815 (TTY 711), seven days a week, 8 a.m. to 8 p.m.

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EQ: What is my coverage for eyeglasses and contact lenses?

A: As a Kaiser Permanente member with the Advantage Plus package, you will receive a credit of $240 to use toward the purchase of eyeglasses or contact lenses in addition to the standard credit available to Senior Advantage members (see your Senior Advantage Evidence of Coverage). The total credit is for a single eyewear purchase every two years. If you do not use the entire credit at the initial point of sale, you cannot use it later. If the eyewear you purchase costs more than the entire credit, you will be responsible for paying the difference.

Q: After I first use my Advantage Plus vision benefit, when can I use it again?

A:After you use your Advantage Plus vision benefit to get glasses or contact lenses, you are eligible to use it again two years from that date.

FREQUENTLY ASKED QUESTIONS

Q: Where can I get my eyeglasses and contact lenses?

A:You may use your vision benefit at any Vision Essentials by Kaiser Permanente location, many of which are conveniently located in Kaiser Permanente’s medical offices. To find a location near you, call toll free 1-800-443-0815 (TTY 711), seven days a week, 8 a.m. to 8 p.m. You can also visit our website at kp.org/2020, where you’ll find information about promotions for even more savings.

Q: What does Vision Essentials by Kaiser Permanente offer?

A: When it comes to your eyes and eyewear, we want you to be completely delighted with your selection, so we offer the following:

• Satisfaction guarantee. You can exchange or return your prescription eyeglasses for a complete refund within 30 days from the date of delivery.

• Prescription guarantee. Doctor-approved prescription changes can be made at no additional charge within 60 days from the date of delivery.

• Price guarantee. If you find a lower price on one of our regularly stocked frames, we’ll match it. (Excludes Internet offers.)

The vision benefits covered by Advantage Plus are provided through Vision Essentials by Kaiser Permanente, located at most Kaiser Permanente medical offices. You can usually get your eye exam and fill your prescription for eyeglasses right in the same location. For information about vision services (including limitations and exclusions) covered by Senior Advantage and Advantage Plus, see Chapter 4 in your Senior Advantage Evidence of Coverage.

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Join Advantage Plus and get active with our fitness benefit through the Silver&Fit program. The Silver&Fit Exercise & Healthy Aging Program was designed to help you improve your health and fitness. With the Silver&Fit program, you can choose membership in a fitness facility or the Silver&Fit Home Exercise Program. And the Silver&Fit program is automatically included when you enroll in Advantage Plus.

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EXERCISE SAFETY TIPS

Health Tip:

These safety steps can prevent injury and help you get the most from your workout:

• Check with your doctor before you start a new activity or exercise routine, especially if you have a health condition.

• Start slowly, and do a little more each day. If you do too much at once, you’re more likely to be injured or to experience muscle soreness.

• Wear the right clothes and shoes. In general, loose clothing is best. It is also important to get closed-toed, nonslip shoes that give you good support.

Member Service Contact Center: 1-800-443-0815 (TTY 711), seven days a week, 8 a.m. to 8 p.m.

RESHAPE YOUR LIFE WITH SILVER&FIT.®

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IT Select the Silver&Fit Exercise & Healthy Aging Program option that works for you!

Through the Silver&Fit program offered by Kaiser Permanente, you can choose from a variety of programs to help you stay fit and active.

SERVICES PROVIDEDFull Fitness Facility1

Basic Fitness Facility1

Gender- Specific Fitness Facility1

Exercise Center1

Home Exercise Program2

Membership at a local participating fitness facility that includes:

• • • •

• Access to cardiovascular and strength training equipment • • • Varies by

facility

• Access to fitness facility amenities such as saunas, pools, and whirlpools (where available)3

• • • Varies by facility

• Fitness facility exercise classes (if offered as part of fitness facility membership)3

• • • Varies by facility

• Silver&Fit group exercise classes at the fitness facility (may include yoga, Zumba Gold®, aqua, fall prevention, tai chi, strength/cardio training, or the Silver&Fit Signature Series Classes®)

• Varies by facility

The Silver Slate® quarterly newsletter • • • • •

Access to the Silver&Fit website • • • • •

Toll-free telephone assistance (with TTY/TDD option) • • • • •

Silver&Fit social activities • • • • •

Option to choose up to two Home Exercise Kits in lieu of fitness facility membership

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Healthy aging education kits on SilverandFit.com or, if requested, DVD with booklets

• • • • •

1 Member pays an annual $25 fee. 2Member pays an annual $10 fee.3 Any nonstandard fitness facility service that typically requires

an additional fee is not included in your membership.

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OPTION 1: The Silver&Fit Facility Membership

When you choose the Silver&Fit Facility Membership,3 you have access to a broad network of participating full and basic coed fitness facilities, gender-specific facilities, and exercise centers. The program includes (where available) fitness facilities for dance studios, yoga, or Pilates. You can take advantage of all of the services and amenities that are part of your fitness facility membership, which may include access to cardiovascular and resistance training equipment; exercise classes offered by the fitness facility; and, where available, saunas, steamrooms, and whirlpools1 — at no additional cost. (Amenities offered by fitness facilities may vary by facility.) You can pay your yearly, non-refundable fee of $25 at your fitness facility at the start of each benefit year. If you are a member of a 24 Hour Fitness facility, contact Silver&Fit to enroll and pay your annual fee.

OPTION 2: The Silver&Fit Home Exercise Program

If you enjoy working out at home or if you cannot go to a fitness facility, you may want to sign up for the Silver&Fit Home Exercise Program. Senior Advantage members can choose one or two of the following exercise kits: Walking; Yoga; Tai Chi; Pilates; Aqua Aerobics; Stress Management; Dance; Strength Exercise; and Chair Boxing. The kits include materials such as a DVD, a booklet with general information, and a Quick Start guide. If you are enrolled in the Home Exercise Program and renew your benefits with Kaiser Permanente, you can choose one or two new exercise kits each benefit year. If you join the Home Exercise Program, you may pay $10 each year for two Home Exercise kits. The fee must be paid each year to continue your enrollment in the program.

1 Member pays an annual $25 fee. 3 Any nonstandard fitness facility service that

typically requires an additional fee is not included in your membership.

Additional features that apply to all options:

Healthy Aging Educational Materials

Learn about the fundamentals of healthy aging and improving your health with educational materials available on DVD or through the Silver&Fit website, once you have activated your benefit. You can choose from such topics as:

• Exercise and fitness

• Diet and nutrition

• The aging process and your body

• Relaxation and positive life change

• Social support and community involvement

• Meditation and awareness training

• Specialty and alternative medicine

• Traditional medical services

You may access healthy aging educational materials by visiting kp.org/silverandfit. Or, once you have enrolled, you can request to have a selection of healthy educational materials mailed to you every quarter.

Complimentary subscription to The Silver Slate

Stay informed with motivational tips and healthy ideas from The Silver Slate, a quarterly health newsletter for Silver&Fit members. You can view The Silver Slate on the website, or you can receive your copy by mail or email.

For more information about Advantage Plus and how to get healthier through the Silver&Fit benefit, call us toll free at 1-800-443-0815 (TTY 711), seven days a week, 8 a.m. to 8 p.m. After you enroll in Advantage Plus, we’ll send you more information about activating your Silver&Fit benefit.

Silver&Fit P.O. Box 509117 San Diego, CA 92150-9117 Toll free 1-877-427-4788 (TTY/TDD 1-877-710-2746) Monday through Friday, 5 a.m. to 6 p.m. kp.org/silverandfit

Kaiser Permanente Member Service Contact Center Toll free 1-800-443-0815 (TTY 711) seven days a week, 8 a.m. to 8 p.m.

When you enroll into Advantage Plus, you automatically receive the Silver&Fit program as part of your Advantage Plus benefit. Once your Advantage Plus membership is effective, you can activate your Silver&Fit benefit and choose from one of the options that follow.

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Q: What is included in the Silver&Fit® Exercise & Healthy Aging Program?

A: The Silver&Fit Exercise & Healthy Aging Program provides Silver&Fit members access to fitness facility membership through a broad network of participating fitness facilities. If you’re not interested in joining a facility, Silver&Fit offers a Home Exercise Program, with your choice of up to two exercise fitness kits. In addition, all enrolled Silver&Fit members will receive Healthy Aging educational materials available online or, if requested, by mail. Members also have access to The Silver Slate newsletter, which provides useful information about health and wellness, and access to the Silver&Fit website, SilverandFit.com.

Q: What are the different types of Silver&Fit facilities?

A:Members have the option to select from the following:

• Full coed fitness facilities offer Silver&Fit exercise classes in addition to their standard membership with cardiovascular and resistance training equipment.

• Basic coed fitness facilities offer a standard membership access to cardiovascular and resistance training equipment.

• Gender-specific fitness facilities offer a standard membership, but members have the opportunity to work out with others of the same gender.

• Exercise centers include dance facilities, community pools, recreation centers, yoga and Pilates studios, and more.

FREQUENTLY ASKED QUESTIONSQ: How can I enroll in the Silver&Fit

program?

A:To be automatically enrolled, take the temporary ID card that you received in your pre-enrollment packet to a contracted Silver&Fit facility and pay the annual fee. (If you wish to enroll in a 24 Hour Fitness facility, you will need to go online to pay the annual fee before you visit the facility.) If you prefer the Home Exercise program, just go to SilverandFit.com, or call 1-877-427-4788 (TTY/TDD 1-877-710-2746).

Q: Can I continue to use my current fitness facility?

A: If the fitness facility is part of the Silver&Fit network, you should let your facility know that you are enrolled in the Silver&Fit program, present the ID card that you received in your welcome packet, and pay the annual member fee. (If the facility is 24 Hour Fitness, you will first need to go online to pay the annual member fee.) If your current fitness facility is not part of the Silver&Fit network, you will need to select a Silver&Fit fitness facility. You can visit SilverandFit.com online or call the Silver&Fit toll-free Customer Service hotline at 1-877-427-4788 (TTY/TDD 1-877-710-2746) to learn about your options.

Q: How can I nominate a fitness facility to be a part of Silver&Fit?

A:You can nominate a fitness facility by going online to SilverandFit.com or by calling the Silver&Fit toll-free Customer Service hotline at 1-877-427-4788 (TTY/TDD 1-877-710-2746).

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Q: Can I change my fitness facility? If so, how often?

A:Yes. You can go online to the Silver&Fit website at SilverandFit.com or call the Silver&Fit toll-free Customer Service hotline at 1-877-427-4788 (TTY/TDD 1-877-710-2746) to change your fitness facility. You may change fitness facilities once per month.

Q: Do I need to pay my annual fee again if I switch to a new facility?

A:No. You are only required to pay your annual fee once in each benefit year.

Q: Once I change to a new fitness facility, when can I begin attending the new one?

A:When you switch facilities mid-month, your effective date with the new facility will be the first of the following month.

Q: If I choose to leave my current facility, can I join any facility in the network (service area)?

A:Yes. When you switch facilities, you can choose any facility in the network. Your effective date with the new facility will be the first of the following month.

Q: If my current facility leaves the network, how will I be notified?

A:You will receive a fitness facility resignation/termination letter from Silver&Fit, providing a 30-day advance notice (when possible) of the facility’s resignation or termination.

Q: What if I have a complaint against a facility?

A:Silver&Fit will investigate any complaints and follow up accordingly. We may use an inquiry letter, a site visit, or a secret shopper call to investigate your concern.

Q: What is the fee for the Silver&Fit Home Exercise Program and what types of exercise kits are included?

A:The annual fee for the Silver&Fit Home Exercise Program is $10, payable by credit card or money order, to Silver&Fit online at SilverandFit.com, or over the phone at 1-877-427-4788 (TTY/TDD 1-877-710-2746). Members can receive up to two of the following kits: Strength Exercise, Walking, Yoga, Tai Chi, Pilates, Aqua Aerobics, Stress Management, Dance, and Chair Boxing.

Q: If I choose the Silver&Fit Home Exercise Program during the enrollment process, how long will it take for my exercise kits to arrive?

A:Your first exercise kit will be mailed within 10 days of the date your payment is processed. The second exercise kit (if applicable) will be mailed 90 days after the first exercise kit is shipped.

Q: If I choose the Silver&Fit Home Exercise Program during the enrollment process and then change my mind, how long must I wait before I can join a facility?

A:You may call the toll-free Customer Service hotline at any time to enroll with a fitness facility. The annual, non-refundable fee payment will be required when you enroll with the new facility. Your effective date will be the first of the following month, and you will no longer receive the Silver&Fit toolkits.

Q: If I’m participating in the Silver&Fit Home Exercise Program and then change my mind and join a facility, do I need to return the exercise kits?

A:No. You may keep the Silver&Fit toolkits.

Q: If I switch from the Silver&Fit Home Exercise Program to a fitness facility, will I need to pay the fitness facility fee?

A:Yes. You will need to pay the annual, non-refundable fitness facility fee directly to the fitness facility.

19

5

FITN

ESS B

EN

EF

IT Q: If I switch from a Silver&Fit fitness facility

to the Home Exercise Program, will I need to pay the Home Exercise Program annual member fee?

A:No. There is no further fee required if you decide to switch from a fitness facility to the Home Exercise Program.

Q: Other than the annual member fee, will I ever have to pay a fitness facility directly for Silver&Fit benefits?

A:You should not have to pay any fees for the Silver&Fit fitness facility membership other than the non-refundable annual fee and any fees associated with an upgraded membership or non-standard services.

Q: If I’m an eligible health plan member but I have not yet enrolled in Silver&Fit, will I have any limitations on the Silver&Fit website?

A:Silver&Fit eligible health plan members who have not enrolled in the Silver&Fit program can register to use the website and all of the features, including trackers, planners, and a library of health information. You will also have access to The Silver Slate newsletter online.

Q: How do I disenroll from Silver&Fit?

A:Just call the Silver&Fit toll-free Customer Service hotline at 1-877-427-4788 (TTY/TDD 1-877-710-2746) to disenroll. Your annual fee payment, however, is non-refundable.

*If you are a member of a 24 Hour Fitness facility, contact Silver&Fit to enroll and pay your annual fee.

The Silver&Fit Program is provided by American Specialty Health Fitness, Inc., a subsidiary of American Specialty Health Incorporated (ASH). All programs and services are not available in all areas. Silver&Fit, The Silver Slate, and the Silver&Fit Signature Series Classes are federally registered trademarks of ASH. Other names and logos may be trademarks of their respective owners.

20

HOW TO APPLY FOR COVERAGE. 6Applying for Advantage Plus is as easy as 1, 2, 3

1. Complete the simple enrollment form in the center of this brochure, one for each person enrolling. Fill in every item and sign and date the form.

2. Be sure to choose a contract dentist from the Dental Directory on page 22. For the most up-to-date list of dentists, visit deltadentalins.com/directory.

3. Return your enrollment form in the postage-paid envelope.

Other important information about applying for Advantage Plus•You must be a Kaiser Permanente Senior Advantage individual plan member

to enroll in the Advantage Plus package.

• If you’re already a Kaiser Permanente Senior Advantage member, you can enroll in the Advantage Plus package any time from October 15, 2013, through March 31, 2014. If you’re a new Senior Advantage member, you can add Advantage Plus within 30 days of enrolling in Senior Advantage.

• The premium for your Advantage Plus dental, hearing, extra vision, and fitness benefits is $20 per month. The $20 monthly premium is in addition to your monthly Senior Advantage premium, and you must also continue to pay your Medicare Part B premium.

Thank you for taking this step toward better dental, hearing, vision, and fitness health. We’ll notify you when your application has been approved and give you additional details about your coverage and start date.

Member Service Contact Center: 1-800-443-0815 (TTY 711), seven days a week, 8 a.m. to 8 p.m.

21

7 INFORMATION YOU NEED TO KNOW.

For more information about dental, hearing, extra vision, and fitness coverage through Advantage Plus, see your Senior Advantage Evidence of Coverage.

The Advantage Plus benefit package gives you additional dental,* hearing, extra vision, and fitness coverage for an additional monthly premium of $20. This is in addition to any premiums required for Senior Advantage described in your Senior Advantage Evidence of Coverage, and you must also continue to pay your monthly Medicare premiums.

* Kaiser Permanente has an agreement with Delta Dental of California to provide you comprehensive dental care through a network of dentists that contract with Delta Dental’s DeltaCare USA Dental HMO program. For information about dental coverage, please refer to your Senior Advantage Evidence of Coverage.

Delta Dental of California administers the DeltaCare USA program.

Enrollment and disenrollment

EnrollmentTo enroll in Advantage Plus, you must complete the Advantage Plus enrollment form.

If you are already a Senior Advantage member, you may add Advantage Plus benefits to your Senior Advantage individual plan coverage by sending us the enrollment form before March 31, 2014, for coverage to become effective on April 1, 2014. Coverage is effective the first of the month following the date we receive your completed enrollment form.

If you are enrolling in Senior Advantage either as a new member or because you have moved and you must complete a new Senior Advantage election form, you can add Advantage Plus within 30 days of enrolling in Senior Advantage. Coverage is effective the first of the month following the date we receive your completed enrollment form.

DisenrollmentYou can terminate your Advantage Plus coverage anytime. Your disenrollment will be effective the first of the month following the date we receive your completed disenrollment form. To request a disenrollment form, please call our Member Service Contact Center toll free at 1-800-443-0815 (TTY 711 for the hearing/speech impaired), seven days a week, 8 a.m. to 8 p.m. For more details about disenrollment, see your Senior Advantage Evidence of Coverage. For additional information about the Senior Advantage individual plan, see your Senior Advantage Evidence of Coverage.

22

8As of June 2013DeltaCare® USA Contract Dentist Facilities

PARTICIPATING DENTAL OFFICES — Northern California

DENTAL DIRECTORY

Please choose a dentist from the following list of dental contract facilities and provide the contract dentist facility ID number and name on your Advantage Plus enrollment form. DeltaCare USA is always expanding its network and adding new dentists and areas. For the most up-to-date list of dentists, visit deltadentalins.com/directory or call Delta Dental’s Customer Service Department toll free at 1-877-644-1774 (TTY 1-800-735-2929), Monday through Friday, 5 a.m. to 6 p.m.

Note: If any office is closed to further enrollment, Delta Dental reserves the right to assign you to another office as close to your home as possible. If you don’t select a dentist, you will be assigned one based on your home ZIP code.

ALAMEDA

#042191 HBRIGHT NOW! DENTAL-ALAMEDA2140 S SHORE CTR94501-8043(510) 214-0253F/T 1 P/T 5

ALBANY

#164401SHADAN JABALI, DDS1113 GARFIELD AVE94706-1212(510) 525-6100F/T 1

ANTELOPE

#016236 HWALERGA DENTAL GROUP8008 WALERGA RD STE 10095843-9003(916) 725-4530F/T 3 P/T 2

ANTIOCH

#022462 HALL SMILE DENTAL CARE5117 LONE TREE WAY94531-8484(925) 777-9898F/T 1

#135501 HCROSSINGS DENTAL CARE3379 DEER VALLEY RD94531-6664(925) 706-0775P/T 2

#0C1001 HDENTAL CARE OF ANTIOCH3432 HILLCREST AVE STE 25094531-6303(925) 754-2145F/T 1

#019985 HEAST BAY DENTAL5157 LONE TREE WAY94531-8689(925) 777-1719F/T 1 P/T 1

#008248SALAM GHANNAM, DDS2225 BUCHANAN RD STE A94509-4209(925) 779-1112P/T 1

#036321WESTERN DENTAL SERVICES2590 SYCAMORE DR94509-2909(925) 776-1140F/T 1 P/T 73

#041082 HWESTERN DENTAL SERVICES4518 LONE TREE WAY94531-7414(925) 529-8300F/T 5 P/T 30

AUBURN

#195501 HAUBURN DENTAL CARE70 COLLEGE WAY95603-5001(530) 889-2828F/T 2

23

#025710SIERRA FAMILY DENTAL1300 LINCOLN WAY STE D95603-5051(530) 885-1931F/T 1

#029835 HSIERRA SMILES DENTAL GROUP2503 BELL RD95603-2533(530) 823-3803F/T 2

BELMONT

#154501BELMONT PLAZA DENTAL CARE390 EL CAMINO REAL STE D94002-2006(650) 631-2893F/T 2

BERKELEY

#035983BERKELEY DENTAL909 UNIVERSITY AVE94710-2022(510) 665-6058F/T 1

#042286 HBERKELEY FAMILY DENTAL3000 COLBY ST STE 30294705-2058(510) 843-4450P/T 1

#028055 HBERKELEY HILLS DENTAL GROUP2320 WOOLSEY ST STE 31294705-1976(510) 848-8624F/T 1 P/T 1

#040036CAMPUS DENTAL CARE2136 UNIVERSITY AVE94704-1026(510) 548-3368F/T 1

#037063 HREFRESH DENTAL3031 TELEGRAPH AVE STE 136A94705-2052(510) 845-2240F/T 1

#036288WESTERN DENTAL SERVICES115 BERKELEY SQ94704-1206(510) 540-8400F/T 2 P/T 69

BRENTWOOD

#041585 HBRENTWOOD SMILES DENTAL GROUP6660 LONE TREE WAY STE 794513-5310(925) 513-8363F/T 1 P/T 1

#013865 HVALORA LEGASPI, DDS2400 BALFOUR RD STE 30194513-4955(925) 240-5808P/T 1

BURLINGAME

#011568MASHA MEKHTEYS, DDS1860 EL CAMINO REAL STE 31594010-3114(650) 692-0555F/T 1

CAMPBELL

#040128BRITE DENTAL281 E HAMILTON AVE STE 295008-0232(408) 871-9734F/T 1

CARMICHAEL

#012687ACCESS DENTAL7141 FAIR OAKS BLVD95608-6408(916) 488-9700F/T 1 P/T 6

#030583CARMICHAEL OAKS DENTAL CARE8329 FAIR OAKS BLVD STE D95608-1949(916) 944-4739P/T 1

#016770SACRAMENTO DENTAL GROUP6611 COYLE AVE95608-6311(916) 965-6250P/T 1

CHICO

#023833 HACCESS DENTAL1010 MANGROVE AVE # A B95926-3551(530) 342-7500F/T 3 P/T 5

#041931 HCHICO DENTAL GROUP955 EAST AVE95926-1308(530) 893-5334F/T 1

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#007289 HLAKEVIEW DENTAL OFFICE2571 CAL PARK DR STE 12095928-4042(530) 345-6888F/T 1

#005531SMILE MAKERS2647 FOREST AVE95928-4384(530) 879-1888F/T 1 P/T 1

#036352WESTERN DENTAL SERVICES1016 SKYWAY95928-7129(530) 781-1270F/T 4 P/T 24

#036359WESTERN DENTAL SERVICES2471 COHASSET RD STE 17095926-1336(530) 894-9040F/T 7 P/T 23

CITRUS HEIGHTS

#041173 HAURA DENTAL CARE6024 SAN JUAN AVE STE A95610-5643(916) 729-5849P/T 2

#011118 HCITRUS DENTAL GROUP5899 SUNRISE BLVD95610-6866(916) 967-7766F/T 2 P/T 2

#137501 HCITRUS HEIGHTS DENTAL OFFICE6994 SUNRISE BLVD95610-3144(916) 723-8900F/T 1 P/T 1

#007823EVERLAST PROFESSIONAL DENTAL7861 GREENBACK LN95610-5909(916) 726-1819F/T 1

#165301 HFIRST DENTAL6191 GREENBACK LN STE A95621-4796(916) 723-5330F/T 1

#378601 HMADISON SQUARE DENTAL CARE6024 SAN JUAN AVE STE C95610-5643(916) 728-2888F/T 1 P/T 1

#013133 HSMILECARE DENTAL GROUP6406 ACD SUNRISE BLVD95610(916) 727-1880F/T 6 P/T 12

CLEARLAKE

#002986 HLAKESHORE DENTAL PRACTICE15322 LAKESHORE DR STE 10495422-9815(707) 994-6050F/T 1

CLOVIS

#023187BRIGHT NOW! DENTAL1420 SHAW AVE STE 10193611-4072(559) 299-9008F/T 2 P/T 9

#146501 HCLOVIS GENTLE DENTAL3151 WILLOW AVE93612-4717(559) 299-9556F/T 2

#008953DENTAL GROUP OF CLOVIS1330 SHAW AVE STE 10393612-3985(559) 325-6161P/T 1

#152901 HMICHAEL WARD, DDS375 BULLARD AVE STE 393612-1056(559) 298-7424F/T 1

#015431 HSMILECARE - CLOVIS1010 SHAW AVE STE B93612-3950(559) 323-1776F/T 4 P/T 10

#036316WESTERN DENTAL SERVICES751 W SHAW AVE93612-3217(559) 323-5500F/T 1 P/T 32

CONCORD

#022752 HCONCORD DENTAL ARTS2222 EAST ST STE 27094520-2066(925) 689-3500P/T 1

#030033DENTAL SPECIALTY GROUP1255 WILLOW PASS RD94520-5218(925) 680-4444F/T 1

25

#010383LESTER YAMASHITA, DDS2969 SALVIO ST94519-2534(925) 685-5296F/T 1

#139401 HROBERT HLAVAC, DDS2917 SALVIO ST STE B94519-2580(925) 689-1772F/T 1

#013123 HSMILECARE DENTAL GROUP1851 SUTTER ST94520-2559(925) 827-2798F/T 5 P/T 13

#036323WESTERN DENTAL SERVICES1821 CONCORD AVE94520-2348(925) 825-8900F/T 1 P/T 74

CUPERTINO

#026176 HI PRO DENTAL19705 STEVENS CREEK BLVD95014-2405(408) 996-7987F/T 1

DALY CITY

#026261BELLA LIM, DDS7455 EL CAMINO REAL STE C94014-2977(650) 994-4561F/T 1

#015677CAMPUS HEIGHTS DENTAL901 CAMPUS DR STE 30494015-4930(650) 756-1900P/T 1

#043355MARIVIC AGONCILLO DDS INC343 GELLERT BLVD STE G94015-2620(650) 731-0625P/T 1

#136201MOUHANNAD AL- MAJDALANI, DDS320 WASHINGTON ST APT 10594015-1972(650) 994-1111P/T 1

#142601 HRODOLFO VILLASIN, DMD341 WESTLAKE CTR STE 23794015-1446(650) 756-6211F/T 1

DANVILLE

#043944 HKAI MING CAI, DDS INC4018 BLACKHAWK PLAZA CIR94506-4654(925) 736-9860P/T 1

DAVIS

#015572TWIN PINES DENTAL1109 KENNEDY PL STE 495616-1271(530) 753-9900F/T 1

DUBLIN

#009032LEIDA P STINE DDS INC7950 DUBLIN BLVD STE 10194568-2936(925) 828-9993F/T 1

#032852 HRESTORE SMILES DENTAL6990 VILLAGE PKWY STE 21094568-2423(925) 556-9074F/T 1

EL CERRITO

#029882 HART DENTAL10586 SAN PABLO AVE94530-2821(510) 559-8598P/T 1

#085001 HRODNEY KIM, DDS11100 SAN PABLO AVE STE 10794530-2172(510) 233-9022F/T 1

#036291WESTERN DENTAL SERVICES11299 SAN PABLO AVE STE A94530-2166(510) 231-0147P/T 66

EL DORADO HLS

#020322GREEN VLY DENTAL GRP & ORTHO2205 FRANCISCO DR STE 15095762-3943(916) 934-0207F/T 2 P/T 2

ELK GROVE

#035446 HADRIANE SCORTIA DENTAL CORP9727 ELK GRV FLORIN RD # 15595624-2291(916) 714-7771P/T 1

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#016238 HALPHA DENTAL8239 LAGUNA BLVD STE 10095758-7999(916) 683-9080P/T 1

#038827 HCASE DENTAL GROUP8170 LAGUNA BLVD STE 30095758-7903(916) 683-2000F/T 1 P/T 1

#017469COZY DENTAL2370 MARITIME DR95758-3639(916) 683-2272F/T 2 P/T 3

#038208DESIGN DENTAL5700 WHITELOCK PKWY STE 12095757-5925(916) 714-3344F/T 1 P/T 1

#022838 HELK GROVE DENTAL GROUP9640 BRUCEVILLE RD STE 10195757-5937(916) 686-9030F/T 1 P/T 3

#025678 HELK GROVE LANDING FMLY DTL8351 ELK GROVE BLVD STE 30095758-5515(916) 691-6997P/T 1

#044629LAGUNA STAR FAMILY DENTAL5105 LAGUNA BLVD STE 495758-5260(916) 478-0222F/T 1

#043019 HLIBERTY FAMILY DENTAL9401 E STOCKTON BLVD STE 21595624-5051(916) 686-9627P/T 1

#001159 HSMILECARE-ELK GROVE9184 E STOCKTON BLVD95624-9510(916) 686-1101F/T 2 P/T 16

#019253 HVP DENTAL CARE9320 ELK GROVE BLVD STE 17095624-5061(916) 714-5422P/T 1

EUREKA

#024315JAMES FOYE, DMD2805 G ST95501-4435(707) 443-6392F/T 1

#023692STEPHEN ANGELOFF, DDS3125 G ST95503-5301(707) 445-4300F/T 1

#002972 HVICTORIA PLACE DENTAL CENTER3144 BROADWAY STE C195501-3838(707) 443-9374F/T 1

FAIR OAKS

#2C3101 HHEALING IMPRESSIONS DTL GRP6600 MERCY CT STE 23095628-3198(916) 966-4628F/T 2 P/T 1

#007282RIVER CITY DENTAL GROUP8908 MADISON AVE95628-4000(916) 536-5151F/T 1 P/T 3

FAIRFIELD

#000070 HACCESS DENTAL1600 TRAVIS BLVD94533-3429(707) 429-4000F/T 4 P/T 15

#033685DENTAL HEALTH CARE1555 WEBSTER ST STE B94533-4934(707) 435-1906P/T 1

#021421 HDR RICHARD RAMOS, DMD INC3075 TRAVIS BLVD94534-3442(707) 435-9004F/T 1

#041137 HFOREVER SMILE DENTAL2401-A WATERMAN BLVD STE 894534-1800(707) 435-1100F/T 1

27

#137401 HJULIUS MOSLEY II, DDS2750 N TEXAS ST STE 34094533-1290(707) 421-2161F/T 1

#038816 HMARLON C TAASAN DMD1545 N TEXAS ST STE 30994533-5623(707) 422-6651F/T 1

#076501 HPARKSIDE DENTAL TEAM1325 TRAVIS BLVD STE D94533-4611(707) 427-2222F/T 3

#001157 HSMILECARE-FAIRFIELD1955 W TEXAS ST94533-4462(707) 428-5400F/T 1 P/T 12

#036317WESTERN DENTAL SERVICES2440 N TEXAS ST94533-1602(707) 422-4600F/T 4 P/T 80

#042817 HYU SMILE DENTAL4455 CENTRAL WAY STE A94534-1819(707) 863-0777P/T 1

FOLSOM

#023580 HCOSMETIC DENTAL STUDIOS2700 E BIDWELL ST STE 30095630-6434(916) 984-5552F/T 1

#040940 HGATEWAY DENTAL GROUP2465 IRON POINT RD STE 12095630-8754(916) 984-9600P/T 3

#027127 HSMILE TIME DENTAL2260 E BIDWELL ST # 11095630-3463(916) 984-4224F/T 3 P/T 2

#001158 HSMILECARE-FOLSOM825 E BIDWELL ST STE 40095630-4207(916) 984-4591F/T 5 P/T 15

#159101 HSUMMIT DENTAL25004 BLUE RAVINE RD STE 11195630-5283(916) 355-8400F/T 1

#036292WESTERN DENTAL SERVICES1016 RILEY ST STE 195630-3265(916) 984-4127F/T 4 P/T 63

#042360 HWHINGMING LEE DDS1671 CREEKSIDE DR STE 10195630-3890(916) 983-9909P/T 1

FOSTER CITY

#013159JING-JING QIAN, DDS1289 E HILLSDALE BLVD STE 394404-1219(650) 572-8518F/T 1

FREEDOM

#155701FAMILY DENTAL CENTER122 THICKET LN95019-3125(831) 724-6000F/T 1

FREMONT

#026038AARISHA DENTAL OFFICE43625 MISSION BLVD STE 10594539-5800(510) 656-7424F/T 1

#026181 HADVANCED SMILE DESIGN39560 STEVENSON PL STE 11794539-3074(510) 797-8100F/T 1

#028713AMERICAN DENTAL GROUP39624 MISSION BLVD94539-3000(510) 573-4743F/T 2

#1C1001 HBROOKEVALE FAMILY DENTISTRY39236 ARGONAUT WAY94538-1306(510) 739-0701P/T 1

#1C3701DENTAL CARE CENTER39470 FREMONT BLVD94538-2117(510) 745-9222F/T 1

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#025567DUC NGUYEN, DDS39411 FREMONT BLVD94538-2116(510) 438-9201F/T 1

#044899 HFREMONT DENTAL EXCELLENCE1895 MOWRY AVE STE 12094538-1736(510) 494-5181F/T 1

#003718 HFREMONT HILLS DENTAL OFFICE698 MOWRY AVE94536-4113(510) 608-6097F/T 1

#038174GENTLE DENTAL39340 FREMONT BLVD94538-1320(510) 651-7700F/T 4 P/T 1

#228101HILLVIEW DENTAL GROUP40739 GRIMMER BLVD94538-2800(510) 651-1440F/T 2 P/T 1

#135301KAMLESH JINJUWADIA, DDS3500 MOWRY AVE STE A94538-1409(510) 796-1499F/T 1

#034602MINA DENTAL40961 GRIMMER BLVD94538-2846(510) 226-1900F/T 1

#039894 HMISSION DENTAL39560 STEVENSON PL STE 21894539-3074(510) 494-8856F/T 1

#010705PRECIOUS DENTAL CARE3200 MOWRY AVE STE A94538-1510(510) 790-7900F/T 1

#010706 HROSALIE S GERONIMO, DMD INC1956 DRISCOLL RD94539-4400(510) 440-1406F/T 1

#036636 HSETTY DDS INC37259 FREMONT BLVD94536-3642(510) 790-0700F/T 1

#042500 HSMILE ZONE FAMILY DENTAL34743 ARDENWOOD BLVD94555-3654(510) 505-0123F/T 1

#004498 HSMILECARE-FREMONT36416 FREMONT BLVD94536-7436(510) 739-3889F/T 2 P/T 14

#021389 HSTAR DENTAL5021 MOWRY AVE94538-1054(510) 797-4900F/T 1

FRESNO

#2C6601 HANGELS FAMILY DENTAL3664 W SHAW AVE93711-3231(559) 277-5800F/T 1

#038004 HBRIGHT NOW DENTAL- FRESNO3244 W SHAW AVE STE A93711-3233(559) 490-0597P/T 7

#020942 HBRIGHT NOW! DENTAL6680 N BLACKSTONE AVE93710-3528(559) 431-9111F/T 1 P/T 7

#020943 HBRIGHT NOW! DENTAL3585 W BEECHWOOD AVE STE 10293711-0600(559) 432-0622F/T 2 P/T 6

#026525BULLARD DENTAL GROUP323 E BULLARD AVE STE 10493710-8620(559) 439-9990F/T 2

#044380 HDILJEET HEER DDS DENTAL CORP2948 FRESNO ST93721-1405(559) 264-0004P/T 1

29

#042113 HELITE DNTL PRACTICE MANN DDS7125 N CHESTNUT AVE STE 10793720-0358(559) 797-4355F/T 1

#142101FIRST FAMILY DENTAL310 W SHAW AVE93704-2646(559) 229-8200F/T 1

#334601FRANK WOO, DDS3636 N 1ST ST STE 12693726-6869(559) 243-1115F/T 1

#034705FRESNO FAMILY DENTISTRY1658 N BLACKSTONE AVE93703-2908(559) 444-0444F/T 1

#3C0901 HGALLO DENTAL GROUP5690 N FRESNO ST STE 10193710-8332(559) 436-3470F/T 1 P/T 1

#014632KIMMER YOUNG, DDS1431 W SHAW AVE93711-3608(559) 229-5930F/T 1

#021696LAURO SO, DMD205 W OLIVE AVE93728-2924(559) 485-0340F/T 1

#037884NOEL T PAREDES, DDS4747 N 1ST ST STE 18593726-0517(559) 824-9524F/T 1

#008872NORTHSIDE DENTAL PRACTICE8835 N CEDAR AVE93720-1832(559) 446-1350F/T 2

#026573 HRACHEL JACK, DDS4747 N 1ST ST STE 11393726-0517(559) 225-4540F/T 1

#014155SAM AKANDE, DDS1902 E ASHLAN AVE93726-2021(559) 228-3000P/T 1

#127101 HSAMI YOUSSEF, DDS4755 E GETTYSBRG AVE STE 10193726-1874(559) 292-4444P/T 2

#161501 HSIDNEY JACKSON, DDS7433 N 1ST ST STE 10193720-2851(559) 447-3003F/T 1

#015430SMILECARE - SUNNYSIDE5657 E KINGS CYN RD STE 10793727-4653(559) 454-7900F/T 3 P/T 11

#013334 HSMILECARE-FRESNO2745 W SHAW AVE STE 10393711-3315(559) 227-2900F/T 3 P/T 11

#015399 HSMILECARE-MANCHESTER MALL1901 E SHIELDS AVE STE 22693726-5310(559) 226-2626F/T 3 P/T 11

#183701ST GEORGE QUALITY DENTAL1515 W SHAW AVE STE 10193711-3514(559) 227-1700F/T 1 P/T 1

#026570 HTHOMAS DOWNING, DDS4747 N 1ST ST STE 11393726-0517(559) 225-4540F/T 2

#024445TOWER DENTAL CARE1215 N DEL MAR AVE93728-1958(559) 233-5625F/T 1

#036301WESTERN DENTAL SERVICES4195 E SHIELDS AVE93726-7025(559) 243-8960F/T 2 P/T 28

#036319WESTERN DENTAL SERVICES4901 E KINGS CANYON RD93727-3812(559) 456-1600F/T 10 P/T 23

8

DE

NTA

L DIR

EC

TOR

Y

30

#036320WESTERN DENTAL SERVICES1255 W SHIELDS AVE93705-3938(559) 227-4000F/T 2 P/T 32

#036325WESTERN DENTAL SERVICES3077 W SHAW AVE93711-3208(559) 244-5501F/T 2 P/T 30

#024652WHITE & BRIGHT FAMILY DENTAL6073 N FRESNO ST93710-8614(559) 432-6384F/T 1

#042111 HWOODWARD DENTAL CARE7475 N 1ST ST STE 10393720-2849(559) 431-7645P/T 1

GALT

#019254GALT PLAZA DENTAL1067 C ST STE 12595632-1759(209) 744-0463F/T 1 P/T 1

#027139SIRAK WORKNEH, DDS430 PINE ST95632-2045(209) 744-9917P/T 1

GILROY

#037265GILROY PLAZA DENTAL6974 CHESTNUT ST95020-6635(408) 847-4111P/T 1

HANFORD

#036358WESTERN DENTAL SERVICES1560 LACEY RD BLVD STE#10793230(559) 589-6301F/T 3 P/T 36

#036586 HWESTERN DENTAL SERVICES210 N 11TH AVE STE 10193230-4591(559) 585-2170P/T 37

HAYWARD

#041409 HBRIGHT NOW! DENTAL-HAYWARD20483 HESPERIAN BLVD94541-4705(866) 898-1355P/T 5

#155001DENTAL SOLUTIONS/DR SHTULMAN19682 HESPERIAN BLVD STE 10194541-4752(510) 782-9942P/T 1

#003967 HFAIRWAY PARK DENTAL OFFICE31111 MISSION BLVD94544-7603(510) 477-6887F/T 1

#023007 HGAN DENTAL CARE31133 MISSION BLVD94544-7603(510) 471-1500F/T 1 P/T 1

#040736GENTLE DENTAL HAYWARD24239 HESPERIAN BLVD94545-1526(510) 786-2587F/T 1 P/T 2

#009022KELVIN CAI, DDS1689 INDUSTRIAL PKWY W94544-7046(510) 264-9074P/T 1

#178901 HSMILECARE-HAYWARD22421 HESPERIAN BLVD94541-7010(510) 782-4161F/T 2 P/T 16

#039643WESTERN DENTAL SERVICES123 W JACKSON ST94544-1809(510) 887-5700F/T 2 P/T 28

HERCULES

#029837 HDENTAL CENTER OF HERCULES844 WILLOW AVE STE A694547-3862(510) 245-3004F/T 1

LINCOLN

#023474CITADEL DENTAL941 STERLING PKWY STE 10095648-7334(916) 408-8585P/T 1

31

#015202 HLINCOLN HILLS FAMILY DENTAL2295 FIELDSTONE DR STE 10095648-8807(916) 543-0222P/T 1

#016173 HPARKWAY DENTAL GROUP781 STERLING PKWY95648-7320(916) 543-7880F/T 2 P/T 1

LIVERMORE

#044891 HALTA VISTA DENTAL3183 INDEPENDENCE DR94551-7595(925) 292-1459P/T 1

#2C8301LIVERMORE DENTAL867 E STANLEY BLVD94550-4008(925) 243-6491P/T 2

#043734 HLIVERMORE SMILES DENTISTRY4375 1ST ST94551-4912(925) 294-9288F/T 1 P/T 1

#044239MINT DENTAL87 FENTON ST STE 10594550-4183(925) 292-5231P/T 2

#039163 HSMILE LINE DENTISTRY1046 MURRIETA BLVD94550-4111(925) 456-7600P/T 1

LIVINGSTON

#041929SUAVE DENTAL746 MAIN ST95334-1308(209) 535-9933F/T 1

LODI

#037720DENTAL GROUP OF LODI531 W KETTLEMAN LN95240-6005(209) 366-1850F/T 2 P/T 1

#036343WESTERN DENTAL SERVICES320 S CHEROKEE LN95240-4266(209) 366-7970F/T 2 P/T 25

LOS ALTOS

#0C0401SAMSON FU-KEUNG LEE, DDS763 ALTOS OAKS DR STE 394024-5400(650) 948-6075F/T 1

LOS GATOS

#024894 HLOS GATOS DENTAL CARE555 KNOWLES DR STE 11295032-1542(408) 370-7733F/T 1

#132401RONALD MATSUURA, DDS431 MONTEREY AVE STE 695030-5319(408) 354-1717F/T 1

MADERA

#039735IDEAL SMILE DENTISTRY475 E ALMOND AVE STE 10293637(559) 662-1010P/T 1

#010549 HKIMMER YOUNG, DDS2401 W CLEVELAND AVE93637-3608(559) 673-4075P/T 1

#033631 HNORTHWEST DENTAL CARE2531 HOWARD RD STE 10393637-5040(559) 674-0927F/T 1 P/T 1

#036342WESTERN DENTAL SERVICES1100 N GATEWAY DR93637-9600(559) 661-5120F/T 2 P/T 23

MANTECA

#022750 HSTADIUM DENTAL GROUP2288 DANIELS ST95337-6706(209) 456-5610P/T 3

#036347WESTERN DENTAL SERVICES1332 E YOSEMITE AVE95336-5004(209) 823-0208F/T 2 P/T 40

#036831WESTERN DENTAL SERVICES1160 W YOSEMITE AVE95337-5239(209) 624-5160F/T 1 P/T 41

8

DE

NTA

L DIR

EC

TOR

Y

32

MARTINEZ

#042527 HALHAMBRA DENTAL GROUP4040 ALHAMBRA AVE94553-3822(925) 313-9700F/T 1 P/T 2

#021489 HBRIGHT NOW! DENTAL1160 ARNOLD DR STE G94553-6839(925) 372-7100F/T 2 P/T 4

MENLO PARK

#012522JOSEPH K SARKOSH, DDS888 OAK GROVE AVE STE 694025-4428(650) 327-8081P/T 1

MERCED

#000286 HACCESS DENTAL12 W 20TH ST95340-3903(209) 388-1000F/T 1 P/T 7

#036356WESTERN DENTAL SERVICES1124 W OLIVE AVE STE 10195348-1939(209) 383-5000F/T 6 P/T 21

MILLBRAE

#005507CECILIA JU, DDS140 EL CAMINO94030(650) 259-9896F/T 1

#037727 HDENTAL EASE1070 BROADWAY94030-1944(650) 697-3273F/T 1

#033681PEDRO CATURAY, DDS1301 BROADWAY STE 794030-1336(650) 589-3667P/T 2

MILPITAS

#391301ALEXANDER GALANG, DDS830 HILLVIEW CT STE 15095035-4561(408) 934-7676F/T 1

#017745KIM LUU, DDS991 MONTAGUE EXPRESSWAY#20295035(408) 263-3090F/T 1

#226601MADHVI DESAI, DDS40 N PARK VICTORIA DR STE D95035-4600(408) 263-0371F/T 1

#009015MAXSMILE DENTISTRY & ORTHO1465 LANDESS AVE95035-6953(408) 272-2644P/T 1

#019240 HNISHA DHARMANI, DDS430 E CALAVERAS BLVD95035-5412(408) 263-9714F/T 1

#028094 HRADIANT DENTAL CARE10 S HILLVIEW DR95035-5461(408) 719-1643F/T 1

MODESTO

#285901ALAN VINCENT, DDS105 MELROSE ST95354-1309(209) 522-0411F/T 1

#043358 HCOFFEE DENTAL GROUP1130 COFFEE RD STE 1A95355-4228(209) 523-5991P/T 1

#020517MODESTO DENTAL2225 PLAZA PKWY STE P195350-6219(209) 576-8181F/T 4 P/T 3

#025873 HPELANDALE DENTAL CARE3900 PELANDALE AVE STE 13595356-9102(209) 545-9489P/T 1

#037885R MESBAH, DDS1101 STANDIFORD AVE STE D395350-0981(209) 571-5429F/T 1

#004497SMILECARE-MODESTO2900 STANDIFORD AVE STE 295350-6575(209) 577-5008F/T 6 P/T 12

33

#038597WESTERN DENTAL SERVICES1720 E HATCH RD95351-5075(209) 538-9550F/T 3 P/T 10

#039645WESTERN DENTAL SERVICES2045 BRIGGSMORE AVE95350(209) 527-3000F/T 3 P/T 9

MORGAN HILL

#1C9301 HCONDIT DENTAL17020 CONDIT RD STE 18095037-7231(408) 778-4548F/T 1

#017147 HMORGAN HILL DENTAL CARE154 COCHRANE PLZ95037-2812(408) 778-4838F/T 2 P/T 1

#020283 HSOUTH VALLEY DENTAL15870 MONTEREY ST95037-5475(408) 778-6684F/T 1

MOUNTAIN VIEW

#352801AHMAD ABDOLLAHI, DDS285 SOUTH DR94040-4313(650) 988-0787P/T 2

#012033CALIFORNIA FAMILY DENTAL2425 CALIFORNIA ST STE D94040-1462(650) 967-1389F/T 1

#042851CAMINO FAMILY DENTISTRY451 W EL CAMINO ROAD94040(650) 938-9002P/T 1

#009979CHRISTINE THAI, DMD2500 HOSPITAL DR BLDG 1 # 594040-4106(650) 961-5070P/T 1

#023615DONIAN SHEN, DDS105 SOUTH DR STE 14094040-4317(650) 938-1868F/T 1

#045006MIRAMONTE DENTAL1702 MIRAMONTE AVE STE A94040-3773(650) 988-0700F/T 1

#016204 HOLIVE TREE DENTAL2290 W EL CAMINO REAL STE 394040-1632(650) 938-8870F/T 1

#170301 HPARKTOWN DENTAL CARE990 BAY ST94040-2681(650) 968-4000F/T 1

#0C8401 HSAN ANTONIO DENTAL530 SHOWERS DR STE 394040-1457(650) 917-8348F/T 1

NAPA

#041240COAST DENTAL - NAPA2016 JEFFERSON ST94559-1214(707) 603-4955F/T 1 P/T 3

#014096TRANCAS DENTAL GROUP935 TRANCAS ST STE 4E94558-2945(707) 257-6277F/T 3 P/T 3

#039925 HWESTERN DENTAL1260 TRANCAS ST94558-2910(707) 501-5101F/T 3 P/T 29

NEWARK

#031197 HALL SMILE DENTAL CENTER37070 NEWARK BLVD STE E94560-3798(510) 790-8268P/T 1

#039588 HROSEMONT FAMILY DENTAL CARE35124 NEWARK BLVD94560-1220(510) 796-3441F/T 2

#005532SCOTT NGUYEN, DDS6180 JARVIS AVE STE J94560-1200(510) 795-9669F/T 1

8

DE

NTA

L DIR

EC

TOR

Y

34

OAKLAND

#017481 HBAY AREA DENTAL475 8TH ST94607-3936(510) 763-7400F/T 1

#017551BRIGHT NOW! DENTAL8105 EDGEWATER DR94621-2028(510) 568-6272F/T 2 P/T 6

#138301 HEAST BAY FAMILY DENTISTRY3040 E 9TH ST STE D94601-2938(510) 534-0706P/T 1

#009665 HELEGANT SMILES3301 E 12TH ST STE 16594601-2939(510) 533-5500F/T 1 P/T 2

#043497FAMILY DENTISTS1510 FRANKLIN ST94612-2804(510) 893-1923P/T 1

#017666 HFRANKLIN DENTAL CARE1624 FRANKLIN ST STE 122094612-2824(510) 893-4041F/T 1 P/T 1

#167001GENTLE DENTAL1624 FRANKLIN ST STE 61594612-2823(510) 451-7881F/T 1 P/T 6

#024221OAKLAND DENTAL CARE1700 BROADWAY94612-2116(510) 444-6300F/T 1

#038288 HOAKLAND SMILE DENTAL8105 EDGEWATER DR STE 12494621-2019(510) 924-7310F/T 1

#039770ROTUNDA DENTAL CARE300 F H OGAWA PLZ STE 10094612-2069(510) 893-0808F/T 4

#177701TIMOTHY HAN, DDS320 13TH ST STE 30194612-3910(510) 839-2045P/T 1

#004653TIMOTHY HAN, DDS2710 TELEGRAPH AVE STE 25094612-1776(510) 839-4106P/T 1

#036287WESTERN DENTAL SERVICES1530 BROADWAY94612-2002(510) 251-1000F/T 9 P/T 52

OROSI

#040492GENERAL DENTISTRY12572 AVENUE 416 STE A93647-2192(559) 528-4727P/T 1

PACHECO

#145901 HPACHECO FAMILY DENTISTRY218 CENTER AVE94553-5553(925) 671-9900P/T 1

PALO ALTO

#018575 HPALO ALTO DENTAL CARE3737 EL CAMINO REAL94306-3315(650) 858-2028F/T 2 P/T 1

#035084RAVENSWOOD FAMILY DENTISTRY1807 BAY RD94303-1312(650) 289-7700F/T 3

PARLIER

#2C3801 HDILJEET HEER, DDS545 E MANNING AVE STE 10893648-2652(559) 646-3844F/T 1

PETALUMA

#001978 HMICHAEL HAGLUND, DDS765 BAYWOOD DR STE 10194954-5507(707) 762-5561F/T 1

#031122PETALUMA DENTAL CARE1436 PROFESSIONAL DR STE 30294954-6697(707) 763-2828P/T 1

35

#017548PETALUMA FAMILY DENTAL CARE47 MARIA DR STE 81394954-3566(707) 763-3203P/T 1

#018928 HPREMIER DENTAL CARE1456 PROFESSIONAL DR STE 40194954-6639(707) 766-7373F/T 1

#020354 HSURYA MANGA ACHYUTA, DDS1372 N MCDOWELL BLVD STE B194954-7101(707) 778-9993F/T 1

PINOLE

#026081BRIGHT NOW! DENTAL1477 FITZGERALD DR STE 10694564-2257(510) 669-0350F/T 2 P/T 2

PITTSBURG

#011404 HSKY DENTAL2230 GLADSTONE DR STE 10094565-5102(925) 432-2444P/T 2

#036289WESTERN DENTAL SERVICES2120 RAILROAD AVE STE 10594565-4880(925) 439-4773F/T 1 P/T 71

PLACERVILLE

#014629 HBROOKSIDE DENTAL4330 GOLDEN CENTER DR95667-6232(530) 622-1987F/T 1

#028184 HPLACERVILLE DENTAL & ORTHO699 MAIN ST STE B95667-5760(530) 295-8000F/T 1

#036786TUNNEL CREEK DENTAL2916 TUNNEL ST95667-4562(530) 344-8000F/T 1

PLEASANT HILL

#017703 HDIABLO VALLEY DENTAL CARE30 GOLF CLUB RD STE C94523-1569(925) 685-8633P/T 2

#037931 HPLEASANT HILL SMILES DTL GRP2380 MONUMENT BLVD STE F94523-3972(925) 363-4455F/T 2 P/T 2

PLEASANTON

#2C5101ALISAL DENTAL CARE5933 CORONADO LN STE 2F94588-8597(925) 401-0300F/T 2

#042699 HBERNAL DENTAL CARE3283 BERNAL AVE STE 10894566-6237(925) 249-9242P/T 1

#164201BERNAL DENTAL GROUP4466 BLACK AVE STE K94566-6130(925) 485-1172F/T 1 P/T 2

#044444MOJAB GENERAL & SPC DNTL1439 CEDARWOOD LN STE D94566-6127(925) 484-1202F/T 1

#044370PATTANAYAK DENTAL CORPORATION1400 SANTA RITA RD STE C94566-5663(925) 485-9595F/T 1

#043338 HPLEASANTON RIDGE DENTAL GRP6766 BERNAL AVE STE 5694566-1218(925) 461-3100P/T 2

#013771TRI-VALLEY DENTAL5820 STNRGE MALL RD STE 11894588-3275(925) 225-1555F/T 1

PORTERVILLE

#043191SWEET SMILES365 PEARSON DR STE 293257-3360(559) 788-2532F/T 1

8

DE

NTA

L DIR

EC

TOR

Y

36

#036350WESTERN DENTAL SERVICES1213 W HENDERSON AVE93257-1454(559) 306-3061F/T 6 P/T 30

REDDING

#023689 HACCESS DENTAL1667 HILLTOP DR96002-0240(530) 223-5500F/T 3 P/T 11

#021046ERIC R WAITS, DMD2115 EUREKA WAY96001-0428(530) 246-1142F/T 1

REDWOOD CITY

#031550BIRCH DENTAL GROUP155 BIRCH ST STE 594062-1340(650) 366-0552P/T 1

#012387EUGENE ESPIRITU705 VETERANS BLVD STE SUITE194063-1735(650) 298-8818P/T 1

#031062 HUNITED DENTAL647 VETERANS BLVD94063-1408(650) 367-4300P/T 1

#036284WESTERN DENTAL SERVICES975 VETERANS BLVD94063-1714(650) 365-8900F/T 1 P/T 33

RICHMOND

#028840WINNING SMILE DENTAL GROUP12732 SAN PABLO AVE94805-1303(510) 233-3100F/T 1

RIVERBANK

#042877SUAVE DENTAL3309 SIERRA ST95367-2440(209) 872-3399P/T 1

RNCHO CORDOVA

#042438 HPRO CARE DENTAL11050 COLOMA RD STE 1795670-2870(916) 635-9800P/T 2

#037990 HRANCHO CORDOVA DENTAL GRP10910 OLSON DR STE 10095670-5663(916) 638-3780F/T 1 P/T 1

#021048 HRC DENTAL GROUP10390 COLOMA RD STE A95670-2152(916) 368-0440P/T 1

ROCKLIN

#021692 HHEALTHY SMILES FAMILY DNTSTRY2160 SUNSET BLVD STE 50395765-4790(916) 771-0757F/T 1

#016849HIGHLAND DENTAL GRP3291 STANFORD RANCH RD # 10295765-5577(916) 435-1665F/T 3 P/T 1

#041806 HSERENITY DENTAL6661 STANFORD RANCH RD STE D95677-2675(916) 630-1084F/T 1

#032054SMILE TIME DENTAL6000 FAIRWAY DR95677-4244(916) 271-9995P/T 4

ROHNERT PARK

#025253 HBRIGHT NOW! DENTAL5755 REDWOOD DR94928-7015(707) 584-1000F/T 1 P/T 2

#023459 HLORA H COSTA, DDS1331 MEDICAL CENTER DR STE H94928-2900(707) 585-8599P/T 1

37

ROSEVILLE

#028281 HAESTHETIC DENTISTRY8445 SRRA COLG BLVD STE B95661-9425(916) 773-0505F/T 1

#001704 HAMERICAN FAMILY DENTISTRY1160 CIRBY WAY #10095661(916) 789-8530F/T 2

#041534 HBRIGHT NOW NORTH ROSEVILLE721 PLSNT GRV BLVD STE 15095678-6181(916) 865-2252P/T 5

#017161 HBRIGHT NOW! DENTAL960 SUNRISE AVE STE 11595661-4538(916) 772-9300F/T 1 P/T 4

#042339 HCONFIDENTAL CARE927 RESERVE DR STE A95678-1383(916) 742-5424F/T 2

#042818 HDREAM SMILES3984 DOUGLAS BLVD STE 17095661-4252(916) 771-0330F/T 1

#007284 HGRANITE BAY SMILES DENTISTRY8630 SRRA COLG BLVD STE 11095661-6062(916) 783-0244F/T 2 P/T 1

#0C1701 HHEALTHY IMAGE DENTAL GROUP576 N SUNRISE AVE STE 14095661-2848(916) 786-6431F/T 1 P/T 1

#032271HEALTHY IMPRESSIONS DENTAL730 SUNRISE AVE STE 12095661-4549(916) 797-0868P/T 1

#012754 HINTERDENTAL CARE106 N SUNRISE AVE STE B1095661-2915(916) 787-0631F/T 1

#016175 HPAVILIONS DENTAL1259 PLSNT GRV BLVD STE 10095678-6974(916) 782-2010F/T 1 P/T 2

#010386 HPLEASANT GROVE DENTAL GROUP10357 FAIRWAY DR STE 10095678-3544(916) 782-4500P/T 2

#011889 HROCKY RIDGE FAMILY DENTAL1700 ROCKY RIDGE DR STE 10095661-2832(916) 782-6001P/T 1

#1C2301 HSAID SHAARI, DDS406 1/2 SUNRISE AVE STE 27095661-4129(916) 789-4568P/T 1

#029990SHAILESH JAWALE, DDS928 PLSNT GRV BLVD STE 10095678-6179(916) 772-1367F/T 1

#029989 HSIAMAK OKHOVAT, DDS2110 PROFESSIONAL DR STE 11595661-3778(916) 783-5600F/T 1

#000667 HSIERRA COLLEGE DTL PRACTICE9290 SRRA COLG BLVD STE 30095661-5991(916) 788-8450F/T 1

#023652 HSTAR DENTAL2030 DOUGLAS BLVD STE 3795661-3857(916) 773-6222F/T 2 P/T 1

#036335WESTERN DENTAL SERVICES9450 FAIRWAY DR STE 11095678-3588(916) 771-8464F/T 3 P/T 69

S SAN FRAN

#040747 HCECILIA R H AVENIDO DMD INC2400 WESTBOROUGH BLVD STE 2094080-5402(650) 989-8502F/T 1

8

DE

NTA

L DIR

EC

TOR

Y

38

#115101GRAND MISSION DENTAL GROUP125 NORTHWOOD DR STE A94080-5755(650) 225-0202F/T 1

#024022JEANETTE ESTIPONA, DDS2400 WESTBOROUGH BLVD # 10394080-5402(650) 296-6952F/T 1

#2C2301NORTHWOOD DENTAL CARE125 NORTHWOOD DR STE A94080-5755(650) 827-9746F/T 1

#041328 HPURE SMILE DENTAL GROUP1133 EL CAMINO REAL STE# 594080(650) 244-9928P/T 1

#014628TRINITY DENTAL CARE1124 MISSION RD94080-1301(650) 872-3030F/T 1

#013447WINSTON MANOR DENTAL OFFICE101 HICKEY BLVD STE C94080-1176(650) 991-4848F/T 1

SACRAMENTO

#023944 HA+ DENTAL3307 ALTA ARDEN EXPY95825-2102(916) 974-1819F/T 2

#133301ADRIANE SCORTIA, DDS7248 S LAND PARK DR STE 20095831-3662(916) 451-4432F/T 1

#036882 HARDEN OAKS DENTAL CARE1741 PROFESSIONAL DR95825-2104(916) 485-5539F/T 2

#165601BRENT VARSHAWSKY, DMD1901 WATT AVE STE 295825-2152(916) 483-5677F/T 1

#023542BRIGHT NOW! DENTAL591 WATT AVE STE 10095864-5027(916) 481-5057F/T 1 P/T 4

#387001 HCHARLES TRAN, DDS6175 STOCKTON BLVD STE 26095824-4521(916) 427-6263F/T 1

#038828 HCURTIS DENTAL1355 FLORIN RD STE 1895822-4244(916) 391-1161F/T 1

#039592 HELDER CREEK DENTAL GROUP3811 FLORIN RD STE 895823-1818(916) 392-7020F/T 1 P/T 1

#277101GREENHAVEN DENTAL GROUP925 SECRET RIVER DR STE B95831-3465(916) 421-3993F/T 1 P/T 1

#034192 HIRVIN RAMSEY, DDS905 SECRET RIVER DR STE C95831-3437(916) 393-2587F/T 1

#017744 HLP DENTAL CARE OF LOAN PHAM6830 STOCKTON BLVD STE 18595823-2324(916) 422-5628F/T 1

#242901MADISON DTL CARE5149 MADISON AVE95841-3001(916) 338-3880F/T 1

#041428 HMARCONI DENTAL GROUP4350 MARCONI AVE STE 10095821-4379(916) 487-7148P/T 3

#016569 HMARKET WEST DENTAL GROUP3290 ARENA BLVD STE 61095834-3003(916) 574-9400F/T 2

39

#018046 HMIRACLE SMILE-DEZHAM DNTL GRP2131 CAPITOL AVE STE 10095816-5755(916) 441-3311F/T 2

#043852 HMODERN DENTAL HEALTH3428 WATT AVE STE B95821-3613(916) 489-9990P/T 3

#032105 HMORE SMILES DENTAL2020 HURLEY WAY STE 13595825-3298(916) 641-7700F/T 1

#040404 HNATOMAS DENTAL CARE2321 NORTHGATE BLVD95833-2504(916) 564-8088F/T 1

#024276NEW DENTAL IMAGES6624 VALLEY HI DR95823-4602(916) 688-1990F/T 1

#036898 HNEW ESSENCE DENTISTRY4000 TRUZEL ROAD, STE 295834(916) 515-1000F/T 1

#233901 HODEAN LONEY, DMD905 SECRET RIVER DR STE A95831-3437(916) 428-5318F/T 1

#000669 HPACIFIC PLAZA FAMILY DENTAL6930 65TH ST STE 107B95823-2341(916) 422-5697F/T 1 P/T 1

#010387 HPARK PLACE DENTAL GROUP4690 NATOMAS BLVD STE 10095835-2230(916) 515-4500P/T 2

#026025PAUL SHIEH, DDS5659 STOCKTON BLVD95824-1611(916) 456-8625F/T 1

#322101 HPIONEER FAMILY DENTAL7850 STOCKTON BLVD STE 16095823-4387(916) 689-3310F/T 4 P/T 1

#027422 HPRO DENTAL GROUP1111 24TH ST STE 20195816-5019(916) 442-5228P/T 1

#023836 HPROMENADE DENTAL GROUP3635 N FREEWAY BLVD STE 11095834-2926F/T 1 P/T 1

#031026 HSACRAMENTO DENTISTRY GROUP1105 E ST95814-0818(916) 538-6900F/T 2 P/T 2

#014095SAID SHAARI, DDS77 CADILLAC DR STE 27095825-8338(916) 649-8200P/T 1

#044948 HSCRIPPS DENTAL GROUP79 SCRIPPS DR STE 20495825-6208(916) 565-2570F/T 1

#114901SERENA PUGEDA, DMD2518 L ST STE A95816-5655(916) 446-7768F/T 3

#022867 HSMILE MAKERS1906 DEL PASO RD95834-7700(916) 263-9888P/T 2

#044379 HSMILE TIME DENTAL3433 ARDEN WAY STE B95825-2018(916) 984-4224P/T 4

#040356 HSTRAWBERRY CREEK DENTAL GROUP8211 BRUCEVILLE RD STE 15595823-2313(916) 525-7635F/T 2 P/T 1

#1C9201UNIQUE DENTAL7300 FRANKLIN BLVD STE 10495823-2900(916) 428-4325P/T 1

8

DE

NTA

L DIR

EC

TOR

Y

40

#2C6201 HVICENTE ALINDOGAN, DDS8876 VINTAGE PARK DR STE 10595828-5894(916) 681-2751F/T 1

#037655VINEYARD DENTAL8940 VINTAGE PARK DR STE 10095829-1628(916) 525-3200F/T 1

#019048 HVP DENTAL CARE3337 EL CAMINO AVE95821-6307(916) 486-8240F/T 1

#031027WEST FLORIN DENTAL930 FLORIN RD STE 10095831-5002(916) 706-1915F/T 1

#044851 HWESTERN DENTAL SERVICES834 ELK FLORIN RD95829(916) 509-3334P/T 15

#024691 HYOLANDA GONZALES, DMD2378 FRUITRIDGE RD95822-3148(916) 421-1010F/T 1

SALIDA

#037923SALIDA DENTAL GROUP5708 PIRRONE RD95368-9313(209) 543-3888P/T 2

SALINAS

#037257ACCU DENTAL668 E ROMIE LN93901-4206(831) 772-0559P/T 1

#040610 HCENTRAL COAST PEDIATRIC DNTL945 BLANCO CIR STE D93901-4421(831) 424-0641F/T 3

#040614 HCENTRAL COAST PEDIATRIC DNTL633 E ALVIN DR STE B93906-3053(831) 443-1177P/T 3

#033434 HDIAMOND DENTAL OF SALINAS1209 N DAVIS RD93907-1996(831) 424-4111F/T 1

#043371 HIMAGE DENTAL1184 MONROE ST # 993906-3548(831) 512-7515P/T 1

#019420PETER YANG, DDS11 MAPLE ST STE E93901-3249(831) 753-6598F/T 1

#275801STEINBECK CNTRY DTL PRACTICE535 E ROMIE LN STE 1093901-4026(831) 758-5836F/T 2

#036336WESTERN DENTAL SERVICES1229 N MAIN ST93906-2826(831) 442-8000F/T 2 P/T 36

#036344WESTERN DENTAL SERVICES921 S MAIN ST STE A93901-2435(831) 783-3160F/T 2 P/T 28

SAN BRUNO

#336601EUGENE ESPIRITU1230 EL CAMINO REAL STE K94066-1300(650) 875-6808P/T 1

#029379 HSAN BRUNO DENTAL CARE211 EL CAMINO REAL94066-4838(650) 589-4784F/T 2

SAN FRANCISCO

#082801BERNARDO GONZALEZ, DDS2720 24TH ST94110-4212(415) 282-4566F/T 1

41

#014142CENTER OF COSMETIC DENTISTRY1550 LOMBARD ST94123-3154(415) 921-5555P/T 1

#058401GENTLE DENTAL2494 MISSION ST94110-2415(415) 821-1200F/T 3 P/T 6

#144101GENTLE DENTAL SAN FRANCISCO2364 GEARY BLVD94115-3305(415) 921-6722P/T 2

#132801GRAND MISSION DENTAL GROUP4749 MISSION ST94112-2729(415) 469-7444F/T 1

#151701HIPOLITO BARONIA, DDS2480 MISSION ST STE 21494110-2480(415) 821-7847F/T 1

#121801J T DENTAL2415 NORIEGA ST94122-4241(415) 682-2415F/T 1

#022751KAYVAN KAFAYI, DDS450 SUTTER ST RM 143394108-4010(415) 398-2360F/T 1

#265501MAT KIISK, DDS3100 19TH AVE94132-2006(415) 584-2537F/T 2

#033063MICHAEL COLE, DDS2595 MISSION ST STE 30894110-2574(415) 647-9191F/T 1

#134701 HMIKHAIL BERDICHEVSKY, DDS4444 GEARY BLVD STE 30394118-3045(415) 386-5590F/T 1 P/T 1

#184601NORIEGA DENTAL3749 NORIEGA ST94122-3903(415) 661-8851F/T 1

#008428OCEAN DENTAL OFFICE760 LA PLAYA ST94121-3262(415) 221-5592F/T 2 P/T 1

#136501 HRICHMOND DENTAL CARE4312 GEARY BLVD94118-3004(415) 752-5605F/T 2

#023138ROBERTO CALABIO DMD INC3184 22ND ST94110-3232(415) 642-2050F/T 1

#319201RONALD YOUNG, DDS1637 LOMBARD ST94123-3006(415) 928-3777F/T 1

#150101 HSAN BRUNO AVE DENTAL CLINIC2817 SAN BRUNO AVE94134-1510(415) 656-2868F/T

#213501SOUTH VAN NESS DENTAL GROUP240 SHOTWELL ST STE 23094110-1323(415) 431-9797F/T 1 P/T 1

#042505TATYANA PIHUR DDS490 POST ST STE 152894102-1311(415) 992-5160F/T 1

#212701VAN NESS DENTAL GROUP2243 VAN NESS AVE STE 10194109-2504(415) 441-2098F/T 4

#039640WESTERN DENTAL SERVICES1282 MARKET ST94102-4801(415) 552-1200P/T 18

#039642WESTERN DENTAL SERVICES2813 MISSION ST94110-3907(415) 285-7500F/T 9 P/T 14

8

DE

NTA

L DIR

EC

TOR

Y

42

SAN JOSE

#037258ACCU DENTAL730 STORY RD STE 595122-2624(408) 998-1088P/T 1

#021635 HADRIENNE VAN, DDS2114 SENTER RD STE 1495112-2608(408) 298-9951P/T 1

#143301AFSHIN ABDOLLAHI, DDS1300 MERIDIAN AVE95125-5211(408) 979-0808F/T 1 P/T 1

#009135ALL STAR DENTAL259 MERIDIAN AVE STE 1295126-2905(408) 275-0768F/T 1

#041469ALMADEN DENTAL5595 WINFIELD BLVD STE 10295123-1220(408) 224-5200F/T 1

#036417BERNA SANAYEI, DDS2929 THE VILLAGES PKWY95135-1442(408) 274-9554F/T 1

#013295BIG SMILES DENTAL CARE1547 SARATOGA AVE95129-4938(408) 725-3740F/T 1

#042504 HBLOSSOM HILL DENTAL CENTER704 BLOSSOM HILL RD STE 10095123-5403(408) 363-8700F/T 1

#162401 HBLOSSOM HILL FAMILY DENTAL5058 UNION AVE STE A95124-5432(408) 559-8668F/T 1

#039738BRIGHT NOW DENTAL171 CURTNER AVE STE 8095125-1059(866) 898-1355P/T 3

#398301COMFORT DENTAL GROUP2881 HEMLOCK AVE # A95128-5121(408) 249-8888F/T 1

#041513COSMETIC & GENERAL DENTISTRY3535 ROSS AVE STE 30495124-3038(408) 265-4064F/T 1

#207601DANIEL THOMPSON, DDS5710 CAHALAN AVE STE 5A95123-3010(408) 281-0500F/T 1

#014876DAVID MENG, DDS INC2505 SAMARITAN DR STE 30895124-4010(408) 356-3588P/T 1

#142401 HDENTAL CONCEPTS EASTRIDGE2200 EASTRIDGE LOOP STE 106095122-1478(408) 238-6684F/T 1

#036198 HDENTAL SOLUTIONS2680 S WHITE RD STE 10095148-2078(408) 531-9501F/T 1

#397701EVERGREEN DENTAL GRP3162 NEWBERRY DR STE 1095118-1567(408) 274-9600F/T 1

#011864EVERGREEN VALLEY DENTAL4868 SAN FELIPE RD STE 12095135-1278(408) 528-8303F/T 1

#015865FARIBA ALIKHANI, DMD3575 STEVENS CREEK BLVD # L95117-1046(408) 247-3400F/T 1

#033735 HGURDIP NARULA, DDS2850 QUIMBY RD STE 14595148-2939(408) 274-5000F/T 4

#033686 HHEALTHY SMILES FAMILY DENT2664 BERRYESSA RD STE 10795132-2906(408) 258-1323F/T 1

43

#028063HUONG NGUYEN, DDS INC266 N JACKSON AVE STE 395116-1606(408) 258-2207F/T 1

#013287IMAGE DENTAL2493 ALVIN AVE95121-1684(408) 223-0988P/T 1

#002706IRMA FRANCISCO DDS INC4750 ALMADEN EXPY STE N95118-2052(408) 264-5880

#186401JACKSON FAMILY DENTAL2324 MONTPELIER DR STE 395116-1612(408) 937-5950F/T 2

#043230 HJACOB P PAI648 E SANTA CLARA ST95112-1903(408) 287-0913P/T 1

#014877JASNA GALEB, DDS1547 SARATOGA AVE95129-4938(408) 725-8331P/T 1

#134901JOEL SANTOS, DDS200 N JACKSON AVE STE D95116-1601(408) 254-7491F/T 1

#349601JOHN TANAKA, DDS2034 FOREST AVE STE 1A95128-4809(408) 279-8080F/T 1

#030245 HJOHN VU, DDS1399 S WNCHESTER BLVD # 12095128-4309(408) 370-7767

#019242 HKINI DENTAL CARE100 OCONNOR DR STE 2395128-1638(408) 998-8383F/T 1

#026187KINI GENTLE DENTAL CARE827 BLOSSOM HILL RD STE W595123-2701(408) 226-1060P/T 1

#042562LEXANN SMILE DENTAL1569 LEXANN AVE STE 10895121-1794(408) 270-4211F/T 1

#018169 HMUU VU, DDS2340 MCKEE RD STE 395116-1615(408) 923-6400P/T 1

#024021 HMUU VU, DDS1569 LEXANN AVE STE 10295121-1794(408) 223-0104P/T 1

#3C1101 HOAKRIDGE DENTAL5450 THORNWOOD DR STE B95123-1222(408) 360-0270F/T 1

#033366ONE STOP DENTAL1155 S KING RD95122-2144(408) 928-5678F/T 2

#024850PORTIA DELA VEGA OBLEA DMD2356 SENTER RD95112-2615(408) 993-9939F/T 1

#025083 HPRO-TECH DENTAL CARE2664 BERRYESSA RD STE 21095132-2907(408) 258-8903F/T 1

#041552 HRIO DENTAL CLINIC1060 S WHITE RD STE C95127-3820(408) 929-4321F/T 1

#042546S J DENTAL1876 CURTNER AVE STE 10095124-1141(408) 371-7391F/T 1

#023687 HSETTY DENTAL CORPORATION1705 BRANHAM LN STE B3095118-5222(408) 264-7630F/T 1 P/T 1

8

DE

NTA

L DIR

EC

TOR

Y

44

#017363SILICON DENTAL2060 ABORN RD STE 21095121-1585(408) 238-5500P/T 1

#036633SMILE DESIGN1206 N CAPITOL AVE STE 20195132-2572(408) 732-3264F/T 1

#178701SMILECARE-SAN JOSE II5130 STEVENS CREEK BLVD95129-1019(408) 557-9830F/T 3 P/T 7

#003503STORY DENTAL HEALTH CNTR INC2454 STORY RD95122-1058(408) 272-0888F/T 1 P/T 1

#143601TIANNA DAO, DDS2344 MCKEE RD STE 1095116-1616(408) 926-9300F/T 1

#045005 HTULLY FAMILY DENTAL1937 TULLY RD STE B95122-1934(408) 929-9398P/T 1

#020995TUYEN NGUYEN, DDS634 E SANTA CLARA ST95112-1902(408) 286-6156F/T 1

#021004UNI DENTAL175 S CAPITOL AVE STE E95127-2845(408) 923-3073F/T 1

#009619UNIDENT2390 SENTER RD95112-2616(408) 298-6420P/T 1

#037313 HUNISMILE6134 CAMINO VERDE DR STE G95119-1431(408) 226-1600P/T 1

#030822 HVALLEY DENTAL PLAZA1664 STORY RD95122-2102(408) 937-9849F/T 1

#163301VALLEY FAMILY DENTAL CARE2060 ABORN RD STE 15095121-1587(408) 239-0816F/T 1

#041319W DENTAL CARE747 S WNCHESTER BLVD STE 12095128-2990(408) 246-7474F/T 1

#036318WESTERN DENTAL SERVICES48 E SANTA CLARA ST95113-1802(408) 293-7000F/T 2 P/T 37

#036353WESTERN DENTAL SERVICES1871 CAMDEN AVE95124-2945(408) 377-5700F/T 7 P/T 42

#133001WILLIAM THAI, DDS630 E SANTA CLARA ST95112-1902(408) 995-5424F/T 1

#018511 HWILLOW DENTAL CARE1675 WILLOW ST95125-5107(408) 264-8700F/T 1

SAN LEANDRO

#019633 HANDY Q V LE DDS1600 150TH AVE94578-1824(510) 276-5533P/T 1

#374301 HCOREY JANG, DDS433 ESTUDILLO AVE STE 30294577-4965(510) 351-0930F/T 1

#176001MARGARET YAP, DDS13770 DOOLITTLE DR94577-5532(510) 352-3918F/T 1

#178801 HSMILECARE-SAN LEANDRO15301 WASHINGTON AVE94579-1811(510) 351-6820F/T 3 P/T 20

45

#036315WESTERN DENTAL SERVICES14895 E 14TH ST STE 10094578-2985(510) 618-1230F/T 2 P/T 66

SAN MATEO

#037686A + DENTAL CENTER400 N SAN MATEO DR 294401-2418(650) 343-0895P/T 1

#037665DECCAN DENTAL320 N SAN MATEO DR # 294401-2514(650) 477-6920F/T 1

#001652DEEPAK SACHDEV, DDS1415 S EL CAMINO REAL94402-3019(650) 573-6500P/T 1

#277501GEORGE WOLFF, DDS255 N SAN MATEO DR94401-2655(650) 347-7100F/T 1

#2C0001PENINSULA DENTAL401 A N SAN MATEO DR94401(650) 344-7626P/T 2

#042548WESTERN DENTAL SERVICES4100 S EL CAMINO REAL94403-5131(650) 235-1460P/T 9

SAN PABLO

#030705 HCONTRA COSTA DENTAL14330 SAN PABLO AVE STE B94806-3304(510) 234-1414P/T 1

#015680REACH DENTAL CARE4200A KLOSE WAY94806-5713(510) 223-8228F/T 2 P/T 1

SAN RAFAEL

#3C1301PACIFIC DENTAL GROUP1523 5TH AVE94901-1806(415) 453-6277P/T 1

#000898SAN RAFAEL DENTISTRY905 LINCOLN AVE94901-3331(415) 453-1241F/T 1

SAN RAMON

#000594 HCOUNTRY FAIR DENTAL12111 ALCOSTA BLVD94583-2637(925) 829-3111P/T 2

#022858 HSAN RAMON FAMILY DENTAL3160 CROW CANYON RD STE 10094583-2090(925) 866-8422F/T 1

#013211SMILECARE9130 ALCOSTA BLVD STE A94583-3847(925) 803-9700F/T 4 P/T 16

SANGER

#042109 HKIM HOANG TRAN DDS INC263 ACADEMY AVE93657-2128(559) 876-1031F/T 1

SANTA CLARA

#017221 HAPEX FAMILY DENTAL2797 EL CAMINO REAL95051-3005(408) 247-4871F/T 1

#017604BRUCE DENTAL CORPORATION1500 LOS PADRES BLVD STE 10195050-4462(408) 244-3867F/T 1

#1C1301NORTHERN DENTAL122 SARATOGA AVE95051-7385(408) 556-1333F/T 3 P/T 3

#028066PAULETTE SANFORD, DDS310 N WINCHESTER BLVD95050-6502(408) 241-6501F/T 1

#038078PLEASANT DENTAL4533 STEVENS CREEK BLVD95051-6856(408) 345-9191F/T 1

8

DE

NTA

L DIR

EC

TOR

Y

46

#019966SILICON VALLEY DENTAL2975 BOWERS AVE STE 10095051-0955(408) 987-0530F/T 1

#010498STAR DENTAL980 EL CAMINO REAL STE 25095050-4289(408) 247-3740F/T 2

#260501THOMAS PUZIN, DDS545 SARATOGA AVE STE B95050-5672(408) 247-5442F/T 1

#041754WESTERN DENTAL SERVICES2825 EL CAMINO REAL95051-2901(408) 343-4170F/T 2 P/T 12

SANTA CRUZ

#2C9901GAYANE MOORADIAN, DDS550 WATER ST STE J195060-4135(831) 425-5515F/T 1

#036338WESTERN DENTAL SERVICES1107 OCEAN ST95060-2818(831) 600-3260F/T 3 P/T 33

SANTA ROSA

#013132 HBRIGHT CARE DENTAL1420 GUERNEVILLE RD STE 295403-4124(707) 578-3776

F/T 1#191601 HCHARLES AIKAWA, DDS397 AVIATION BLVD STE L95403-1058(707) 579-1201F/T 1 P/T 1

#021793ESSENTIAL DENTAL CARE55 MISSION CIR STE 10395409-5372(707) 568-0480F/T 1

#042540 HMIRABEL CAYCO DDS2448 GUERNVEVILLE RD #100095403(707) 595-3615F/T 1

#037617 HOFFICE OF DR ROSTAMI INC479 STONY POINT RD95401-5969(707) 523-3700P/T 1

#000893SMILECARE-SANTA ROSA140 STONY POINT RD STE A95401-4121(707) 578-3118F/T 2 P/T 3

#036327WESTERN DENTAL SERVICES4100 MONTGOMERY DT STE B95405(707) 537-2020F/T 3 P/T 46

#036813YUNFEI FAN DDS1420 GUERNEVILLE RD STE 595403-4124(707) 623-9471F/T 1

SARATOGA

#009540PROSPECT DENTAL CARE1480 SARATOGA AVE95070-3612(408) 252-6000F/T 1 P/T 1

#024020 HSAHANA PRASAD, DDS12860 SARATOGA SUNNYVALE RD95070-4221(408) 867-1800F/T 1

SEASIDE

#040612 HCENTRAL COAST PEDIATRIC DNTL1717 FREMONT BLVD93955(831) 899-5437P/T 3

SELMA

#040621MANDEEP SINGH SANDHU2059 HIGH ST93662-3512(559) 896-8888P/T 1

STOCKTON

#000221 HACCESS DENTAL902 E HAMMER LN95210-3027(209) 957-9500F/T 2 P/T 15

#040719 HBRIGHT NOW DENTAL-STOCKTON6323 PACIFIC AVE95207-3713(209) 242-0470P/T 2

47

#025876 HCOUNTRY CLUB DENTAL2828 COUNTRY CLUB BLVD STE 995204-3987(209) 478-9999P/T 2

#037719DENTAL GROUP OF STOCKTON1036 W ROBINHOOD DR STE 10495207-5622(209) 956-9650F/T 1

#036906EDUARDO H ROA DDS1341 W ROBINHOOD DR STE C395207-5516(209) 957-0765F/T 2

#041047 HGOTTA SMILE6360 PACIFIC AVE STE 295207-3723(209) 227-8462F/T 1

#031827 HKEVIN THANG PHAM, DDS PC3322 E HAMMER LN STE H95212-3843(209) 475-0869F/T 1

#024855MARIA THERESA ORONCE, DMD1610 N EL DORADO ST STE 495204-5930(209) 462-8361F/T 2

#137801M LUISA BERMUDEZ, DMD221 TUXEDO CT STE D95204-5261(209) 466-0254F/T 1

#013976 HNU SMILE DENTAL707 E MARCH LN STE 195207-5864(209) 955-1800F/T 1

#014339 HPARK WEST DENTAL GROUP10928 TRINITY PKWY95219-7230(209) 474-8000P/T 2

#042641 HROLANDO A DE JESUS, DMD1350 W ROBINHOOD DR STE 495207-5519(209) 451-3155F/T 1

#013124 HSMILECARE DENTAL GROUP5756 PACIFIC AVE STE 7595207-5156(209) 472-1765F/T 2 P/T 13

#026860 HSO. CALIFORNIA DTL PRACTICE20 S CALIFORNIA ST95202(209) 941-0814P/T 1

#028413 HSTAR DENTAL PRACTICE8626 LOWER SACTO RD STE 37B95210-1835(209) 951-8088F/T 1

#036326WESTERN DENTAL SERVICES1407 W MARCH LN95207-6111(209) 473-4000F/T 4 P/T 32

#042096WESTERN DENTAL SERVICES678 N WILSON WAY STE D95205-4200(209) 937-9000F/T 3 P/T 14

#042098WESTERN DENTAL SERVICES7860 WEST LN STE B595210-3317(209) 954-1727F/T 1 P/T 15

SUNNYVALE

#042906 HACCU-DENTAL665 S KNICKERBOCKER DR STE 994087-1059(408) 739-5311P/T 1

#008454GENTLE DENTAL SUNNYVALE1639 HOLLENBECK AVE94087-5402(408) 732-6931F/T 1 P/T 4

#041875I DENTAL GROUP1298 KIFER RD STE 50194086-5320(408) 830-0123F/T 1

#178501 HJOON KU LEE, DMD500 E REMINGTON DR STE 2694087-2612(408) 774-2828F/T 1

#025246 HLORA COSTA, DDS1286 KIFER RD STE 11094086-5326(408) 774-1200P/T 1

8

DE

NTA

L DIR

EC

TOR

Y

48

#025568NAVJYOT PANJRATH, DDS689 E REMINGTON DR STE B 294087-1978(408) 739-6520F/T 1

#002709 HPALM BAY DENTAL1301 SNVL SARATOGA RD # 294087-3242(408) 732-2112F/T 1

#0C9501STEPHEN FONG, DDS990 W FREMONT AVE STE S94087-3065(408) 736-4101F/T 1

#028978SAI DENTAL1050 E EL CAMINO REAL94087-3754(408) 423-9197F/T 1

#010499SMILESAVERS DENTAL1214 APOLLO WAY STE 40294085-5417(408) 737-0101F/T 1

#028071 HSUNNYVALE DENTAL AESTHETICS1286 KIFER RD STE 10594086-5326(408) 736-8880P/T 1

#398201SUNNYVALE FAMILY DTL CARE990 W FREMONT AVE STE 094087-3021(408) 739-8999F/T 1

TRACY

#023268 HBRIGHT NOW! DENTAL2135 N TRACY BLVD95376-2424(209) 836-4950F/T 2 P/T 8

#032650BRITE SMILES DENTISTRY1170 W 11TH ST95376-3721(209) 839-1600F/T 1

#028290 HCALIFORNIA DENTAL GROUP3101 N TRACY BLVD95376-1717(209) 830-7473F/T 1

#003724 HCOAST DENTAL2990 W GRANT LINE RD95304-7901(209) 830-7797F/T 3 P/T 9

#023693 HGRANTLINE DENTAL2242 W GRANT LINE RD STE 10295377-7329(209) 832-2525F/T 1

#010762OFFICE OF DR ROSTAMI INC530 W EATON AVE STE L95376-3455(209) 839-8810P/T 1

#029718 HPARAMJIT SINGH, DDS4598 S TRACY BLVD STE 15095377-8112(209) 221-6666F/T 1

#033811 HTRACY SMILES DTL GRP2600 S TRACY BLVD STE 17095376-9111(209) 836-5441F/T 1 P/T 2

#036333WESTERN DENTAL SERVICES2313 N CORRAL HOLLOW RD95376-9401(209) 832-9530F/T 2 P/T 46

TULARE

#036310WESTERN DENTAL SERVICES1111 E TULARE AVE93274-4561(559) 688-3313F/T 4 P/T 34

TURLOCK

#023627 HDELBON DENTAL1060 DELBON AVE95382-2014(209) 667-2977P/T 1

#045008HAWKEYE FAMILY DENTAL711 E HAWKEYE AVE STE 295380-7505(209) 632-2082F/T 1

#014891HEALTHY SMILE DENTAL241 N PALM ST95380-4028(209) 668-9300P/T 2

#025874 HMONTE VISTA DENTAL3212 W MONTE VISTA AVE95380-8412(209) 669-6500P/T 1

49

#038595 HWESTERN DENTAL SERVICES703 N GOLDEN STATE BLVD95380-3953(209) 634-0500F/T 3 P/T 8

UNION CITY

#039548 HBV FAMILY COSMETIC DENTISTRY2 UNION SQ STE 23094587-4432(510) 489-5000F/T 1

#039162 HNOBLE DENTAL CARE34603 ALVARADO NILES RD94587-4598(510) 493-2130P/T 1

#033018 HSHINE DENTAL34665 ALVARADO NILES RD94587-4598(510) 441-7645F/T 1

#023129 HTRINH TRAC, DDS33448 ALVARADO NILES RD94587-3110(510) 429-1178F/T 1

VACAVILLE

#021426 HALAMO DENTAL3057 ALAMO DR95687-6300(707) 448-8881F/T 2

#010095 HALAMO FAMILY DENTAL CARE3000 ALAMO DR STE 20395687-6352(707) 454-3888F/T 1 P/T 6

#004927 HALAMO PLAZA DENTAL OFFICE810 ALAMO DR95688-5313(707) 469-8188P/T 1

#029121 HALL SMILES DENTAL1241 ALAMO DR STE 1195687-5620(707) 447-8289P/T 1

#039351BAYSIDE DENTAL72 PEABODY RD95687-4727(707) 450-0732P/T 1

#039771 HNUT TREE SMILES DENISTRY110 NUT TREE PKWY95687-3251(707) 451-8390F/T 2 P/T 1

#017246 HVACAVILLE DENTAL ASSOCIATES412 CERNON ST STE A95688-4549(707) 452-0445F/T 1

#036322WESTERN DENTAL SERVICES791 E MONTE VISTA AVE95688-2920(707) 359-2211F/T 3 P/T 82

VALLEJO

#000066 HACCESS DENTAL3400 SONOMA BLVD94590-2972(707) 554-4000F/T 3 P/T 16

#044947 HBAYSIDE DENTAL PRACTICE2121 REDWOOD ST STE A94590-3603(707) 644-7600F/T 1

#137201 HJULIUS MOSLEY II, DDS2121 REDWOOD ST STE E94590-3603(707) 558-1660F/T 1

#032715SETTY DDS INC480 REDWOOD ST STE 1394590-2958(707) 554-2600P/T 1

#002237SMILECARE-VALLEJO133 PLAZA DR STE R94591-3703(707) 557-6245F/T 3 P/T 8

#022896 HTRI-CITY DENTAL VALLEJO3630 SONOMA BLVD94590-2946(707) 643-1987F/T 1

#000798VALLEJO DENTAL ASSOCIATES475 REDWOOD ST STE 3094590-2954(707) 643-1714P/T 1

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50

#036357WESTERN DENTAL SERVICES3587 SONOMA BLVD94590-2945(707) 557-8000F/T 3 P/T 83

VISALIA

#185601 HABC DENTAL GROUP2544 S MOONEY BLVD93277-6237(559) 733-9797F/T 3

#027639 HBRIGHT NOW! DENTAL5344 W CYPRESS AVE STE 10193277-8339(559) 635-4391F/T 2 P/T 7

#023227COSMETIC TOUCH DENTAL GROUP2634 W WALNUT AVE93277-4378(559) 732-7224P/T 1

#036329WESTERN DENTAL SERVICES1230 S MOONEY BLVD93277-4436(559) 624-0503F/T 4 P/T 40

#036331WESTERN DENTAL SERVICES828 S MOONEY BLVD93277-2212(559) 636-6000F/T 4 P/T 33

W SACRAMENTO

#035874 HSOUTH RIVER DENTAL GROUP2455 JEFFERSON BLVD STE 13095691-5328(916) 372-8062F/T 3

#024308VIVIAN FERNANDEZ, DDS821 JEFFERSON BLVD95691-3205(916) 372-3368F/T 1

WALNUT CREEK

#027824 HDENTAL CARE OF WALNUT CREEK1111 CIVIC DR STE 14594596-8229(925) 937-9017F/T 1 P/T 2

#026993 HDANIEL R PESTANA, DDS2255 YGNACIO VALLEY RD STE J294598-3335(925) 945-8006F/T 1

#034527HORIZONS DENTAL1479 YGNACIO VALY RD STE 10794598-2987(925) 945-7977P/T 1

#1C9701 HMIKHAIL BERDICHEVSKY, DDS120 LA CASA VIA # 105 # VIA94598-3067(925) 933-9820F/T 2

#043949PERFECT DENTAL CARE675 YGNACIO VALLEY RD # B10594596-3883(925) 813-0402F/T 1

#008907 HSAN MIGUEL DENTAL1844 SAN MIGUEL DR STE 20694596-4963(925) 279-3326F/T 1 P/T 2

#029715 HSPRING DENTAL2987 N MAIN ST94597-2002(925) 930-7770F/T 1

#002987 HTIM PATEL, DDS1818 SAN MIGUEL DR94596-8606(925) 945-7366F/T 2

WATSONVILLE

#037259ACCU DENTAL40 PENNY LN STE 295076-6008(831) 724-0245P/T 1

#024019 HCROSSROADS DENTAL1951 MAIN ST95076-3027(831) 761-9500F/T 1

#036309WESTERN DENTAL SERVICES1895 MAIN ST95076-6024(831) 763-4730F/T 2 P/T 26

51

WEST SACRAMENTO

#018264 HACME DENTAL820 WESTACRE RD95691-3222(916) 371-1500F/T 1 P/T 1

#014630 HDENTISTRY TODAY1001 JEFFERSON BLVD STE 50095691-3392(916) 372-7022F/T 1

WOODLAND

#021391 HCOTTONWOOD DENTAL GROUP520 COTTONWOOD ST STE 495695-3603(530) 669-6688F/T 1

#019690 HLINCOLN DENTAL520 COTTONWOOD ST STE 1195695-3603(530) 661-9276F/T 2 P/T 1

#040062 HWOODLAND SMILES2041 BRONZE STAR DR STE 10095776-5428(530) 662-7592F/T 1 P/T 1

#025080 HYOLO DENTAL PRACTICE520 COTTONWOOD ST STE 995695-3603(530) 662-8100F/T 2

YUBA CITY

#040639A SEKHON DENTAL CORPORATION439 DEL NORTE AVE95991-4113(530) 671-9555P/T 1

#001493ACCESS DENTAL940 COLUSA AVE STE A95991-3676(530) 755-9900F/T 3 P/T 13

#021422 HMELISSA LEE, DDS1215 PLUMAS ST STE 190195991-4027(530) 751-7671F/T 1

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Language AssistanceIf you need language assistance to enable communication in a dental setting, Delta Dental will arrange for professional services through a certified interpretation vendor at no added cost to you.

The wheelchair symbol indicates functional accessibility for individuals with limited mobility. Information regarding dental office accessibility for patients with mobility impairments is available by calling Delta Dental’s Customer Service Department toll free at 1-877-644-1774 (TTY 1-800-735-2929 for the hearing/speech impaired), Monday through Friday, 5 a.m. to 6 p.m.

This list is subject to change without notice. Additional dental offices will be added as required. You may call Delta Dental’s Customer Service Department toll free at 1-877-644-1774 (TTY 1-800-735-2929 for the hearing/speech impaired), Monday through Friday, 5 a.m. to 6 p.m., for updates to the provider list, or visit deltadentalins.com/directory for the most up-to-date list of dental offices. If any office is closed to further enrollment, Delta Dental reserves the right to assign you to another dental office as close to your home as possible

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Please recycle. MOM 60197109 NCAL (09/2013)