| Marivic C Agoncillo Dds Inc | |
|
343 Gellert Blvd Ste G Daly City CA 94015-2620 | |
| (650) 731-0625 | |
| (650) 997-3542 |
| Full Name | Marivic C Agoncillo Dds Inc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 343 Gellert Blvd Ste G, Daly City, California |
| Authorized Official Name and Position | Marivic C Agoncillo (OWNER / DENTIST) |
| Authorized Official Contact | 6507310625 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Marivic C Agoncillo Dds Inc 343 Gellert Blvd Ste G Daly City CA 94015-2620 Ph: (650) 731-0625 | Marivic C Agoncillo Dds Inc 343 Gellert Blvd Ste G Daly City CA 94015-2620 Ph: (650) 731-0625 |
| NPI Number | 1114805413 |
|---|---|
| Provider Enumeration Date | 08/25/2025 |
| Last Update Date | 08/25/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114805413 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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