| Michaelian Endodontic Dental Group Inc | |
|
341 Gellert Blvd Ste C Daly City CA 94015-2616 | |
| (650) 994-2710 | |
| Not Available |
| Full Name | Michaelian Endodontic Dental Group Inc |
|---|---|
| Speciality | Dentist - Endodontics |
| Location | 341 Gellert Blvd Ste C, Daly City, California |
| Authorized Official Name and Position | Marshall J Michaelian (OWNER/PRESIDENT) |
| Authorized Official Contact | 6509942710 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Michaelian Endodontic Dental Group Inc 341 Gellert Blvd Ste C Daly City CA 94015-2616 Ph: (650) 994-2710 | Michaelian Endodontic Dental Group Inc 341 Gellert Blvd Ste C Daly City CA 94015-2616 Ph: (650) 994-2710 |
| NPI Number | 1578012027 |
|---|---|
| Provider Enumeration Date | 09/26/2016 |
| Last Update Date | 09/26/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578012027 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223E0200X | Dentist - Endodontics | (* (Not Available)) | Primary |
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