|
| |
|
1328 W El Camino Real # 1 Mountain View CA 94040-2404 | |
| (650) 962-8773 | |
| (650) 962-8464 |
| Full Name | |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 1328 W El Camino Real # 1, Mountain View, California |
| Authorized Official Name and Position | Sheila Tan (ADMINISTRATOR) |
| Authorized Official Contact | 6509628773 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
1328 W El Camino Real # 1 Mountain View CA 94040-2404 Ph: (650) 962-8773 | 1328 W El Camino Real # 1 Mountain View CA 94040-2404 Ph: (650) 962-8773 |
| NPI Number | 1720011745 |
|---|---|
| Provider Enumeration Date | 07/10/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720011745 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 42954 (California) | Primary |
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 38508 (California) | Primary |
Michael J Fong, Dds, Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2500 Hospital Dr, #6, Mountain View, CA 94040 Phone: 650-968-3146 | |
Shireen Choudhury Dds A Professional Dental Corporation Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2425 California St Ste D, Mountain View, CA 94040 Phone: 650-967-1389 Fax: 650-852-9756 | |
Serenity Sleep Solutions Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 105 South Dr Ste 140, Mountain View, CA 94040 Phone: 650-938-1868 Fax: 650-938-1968 | |
Min Jeong Katherine Kim D.d.s., Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1077 Brighton Pl, Mountain View, CA 94040 Phone: 617-331-5360 | |