| The Smile Company | |
|
675 Mariners Island Blvd Ste 105 San Mateo CA 94404-1040 | |
| (650) 345-5711 | |
| Not Available |
| Full Name | The Smile Company |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 675 Mariners Island Blvd Ste 105, San Mateo, California |
| Authorized Official Name and Position | Daniel Kim (DENTIST/PRESIDENT) |
| Authorized Official Contact | 9253006876 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Smile Company 675 Mariners Island Blvd Ste 105 San Mateo CA 94404-1040 | The Smile Company 675 Mariners Island Blvd Ste 105 San Mateo CA 94404-1040 Ph: (650) 345-5711 |
| NPI Number | 1407623739 |
|---|---|
| Provider Enumeration Date | 12/06/2023 |
| Last Update Date | 12/06/2023 |
| Certification Date | 12/06/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407623739 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (NU) | Primary |
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