| Marina Dental | |
|
2996 S Norfolk St Ste E San Mateo CA 94403-2076 | |
| (650) 349-0111 | |
| (650) 349-0133 |
| Full Name | Marina Dental |
|---|---|
| Speciality | Dentist |
| Location | 2996 S Norfolk St Ste E, San Mateo, California |
| Authorized Official Name and Position | James S Lee (OWNER) |
| Authorized Official Contact | 6503490111 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Marina Dental 2996 S Norfolk St Ste E San Mateo CA 94403-2076 Ph: (650) 349-0111 | Marina Dental 2996 S Norfolk St Ste E San Mateo CA 94403-2076 Ph: (650) 349-0111 |
| NPI Number | 1093111668 |
|---|---|
| Provider Enumeration Date | 11/10/2014 |
| Last Update Date | 11/10/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093111668 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 037127 (California) | Primary |
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