| Foster City Dental Care | |
|
675 Mariners Island Blvd Suite 110 San Mateo CA 94404-1062 | |
| (650) 577-1988 | |
| (650) 577-0835 |
| Full Name | Foster City Dental Care |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 675 Mariners Island Blvd, San Mateo, California |
| Authorized Official Name and Position | Shirin Shahinfar Imani (PRESIDENT) |
| Authorized Official Contact | 6505771988 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Foster City Dental Care 675 Mariners Island Blvd Suite 110 San Mateo CA 94404-1062 Ph: (650) 577-1988 | Foster City Dental Care 675 Mariners Island Blvd Suite 110 San Mateo CA 94404-1062 Ph: (650) 577-1988 |
| NPI Number | 1154329084 |
|---|---|
| Provider Enumeration Date | 07/13/2005 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154329084 | NPI | - | NPPES |
| 11948 | Other | UT | UNITED HEALTHCARE |
| 868252 | Other | PA | UNITED CONCORDIA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 42093 (California) | Primary |
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