| Bing Elliot Xia Dds Inc | |
|
931 San Bruno Ave W Rm 8 San Bruno CA 94066-3435 | |
| (415) 986-2626 | |
| (415) 986-2727 |
| Full Name | Bing Elliot Xia Dds Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 931 San Bruno Ave W Rm 8, San Bruno, California |
| Authorized Official Name and Position | Bing Elliot Xia (OWNER) |
| Authorized Official Contact | 4159862626 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bing Elliot Xia Dds Inc 931 San Bruno Ave W Rm 8 San Bruno CA 94066-3435 Ph: (415) 986-2626 | Bing Elliot Xia Dds Inc 931 San Bruno Ave W Rm 8 San Bruno CA 94066-3435 Ph: (415) 986-2626 |
| NPI Number | 1770240343 |
|---|---|
| Provider Enumeration Date | 11/18/2021 |
| Last Update Date | 11/18/2021 |
| Medicare PECOS PAC ID | 7214319359 |
|---|---|
| Medicare Enrollment ID | O20220805000575 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770240343 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
| Provider Name | Bing Xia |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1386664035 PECOS PAC ID: 0648652727 Enrollment ID: I20220805002127 |
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