| Sonrisas Dental Health, Inc | |
|
210 San Mateo Rd 104 Half Moon Bay CA 94019-7172 | |
| (650) 726-2144 | |
| (650) 726-2726 |
| Full Name | Sonrisas Dental Health, Inc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 210 San Mateo Rd, Half Moon Bay, California |
| Authorized Official Name and Position | Bonnie Jue (CEO/DENTAL DIRECTOR) |
| Authorized Official Contact | 6507273480 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sonrisas Dental Health, Inc 430 N. El Camino Real San Mateo CA 94401 Ph: (650) 727-3480 | Sonrisas Dental Health, Inc 210 San Mateo Rd 104 Half Moon Bay CA 94019-7172 Ph: (650) 726-2144 |
| NPI Number | 1447477591 |
|---|---|
| Provider Enumeration Date | 04/19/2007 |
| Last Update Date | 10/16/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447477591 | NPI | - | NPPES |
| G92656-01 | Medicaid | CA | |
| G98078 | Other | CA | HEALTHY FAMILIES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
Derek H. Tang Dds Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 640 Mill St, Half Moon Bay, CA 94019 Phone: 650-726-7581 Fax: 650-726-6546 | |
Johannes P Knueppel Dds Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 840 Main St, Suite A, Half Moon Bay, CA 94019 Phone: 650-726-6884 | |
Johannes P Knueppel Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 840 Main St Ste A, Half Moon Bay, CA 94019 Phone: 650-726-6884 | |
Kenneth L. Stasun D.d.s. A Professional Corporateon Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 423 Johnston St, Half Moon Bay, CA 94019 Phone: 650-726-7523 |