| Family Dentistry San Bruno, Incorporated | |
|
105 El Camino Real San Bruno CA 94066-5426 | |
| (650) 866-3084 | |
| (650) 866-3081 |
| Full Name | Family Dentistry San Bruno, Incorporated |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 105 El Camino Real, San Bruno, California |
| Authorized Official Name and Position | Maria Corazon Roque David-arrobio (DENTIST AND OWNER) |
| Authorized Official Contact | 6508663084 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Dentistry San Bruno, Incorporated 105 El Camino Real San Bruno CA 94066-5426 Ph: (650) 866-3084 | Family Dentistry San Bruno, Incorporated 105 El Camino Real San Bruno CA 94066-5426 Ph: (650) 866-3084 |
| NPI Number | 1245737931 |
|---|---|
| Provider Enumeration Date | 04/09/2018 |
| Last Update Date | 04/09/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245737931 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 44859 (California) | Primary |
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