| Stanford Family Dental | |
|
150 Middlefield Rd Ste 101 Menlo Park CA 94025-3685 | |
| (650) 328-2072 | |
| Not Available |
| Full Name | Stanford Family Dental |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 150 Middlefield Rd Ste 101, Menlo Park, California |
| Authorized Official Name and Position | Jamie Paychev (OWNER) |
| Authorized Official Contact | 6503282072 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Stanford Family Dental 150 Middlefield Rd Ste 101 Menlo Park CA 94025-3685 Ph: (650) 328-2072 | Stanford Family Dental 150 Middlefield Rd Ste 101 Menlo Park CA 94025-3685 Ph: (650) 328-2072 |
| NPI Number | 1801501309 |
|---|---|
| Provider Enumeration Date | 01/18/2023 |
| Last Update Date | 01/18/2023 |
| Certification Date | 01/18/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801501309 | NPI | - | NPPES |
| 1700371127 | Other | CA | DENTAL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (NU) | Primary |
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