| Codington LLC | |
|
424 N San Mateo Dr Ste 300 San Mateo CA 94401-2492 | |
| (650) 772-5642 | |
| Not Available |
| Full Name | Codington LLC |
|---|---|
| Speciality | Dentist |
| Location | 424 N San Mateo Dr Ste 300, San Mateo, California |
| Authorized Official Name and Position | Terrence Codington (DDS) |
| Authorized Official Contact | 6507725642 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Codington LLC 2112 Easton Dr Burlingame CA 94010-5636 Ph: (650) 772-5642 | Codington LLC 424 N San Mateo Dr Ste 300 San Mateo CA 94401-2492 Ph: (650) 772-5642 |
| NPI Number | 1225574361 |
|---|---|
| Provider Enumeration Date | 01/12/2017 |
| Last Update Date | 01/12/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225574361 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 307478 (California) | Primary |
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