| Melko Dental Group | |
|
100 W El Camino Real Suite 74a Mountain View CA 94040-2664 | |
| (650) 961-5975 | |
| (650) 625-0468 |
| Full Name | Melko Dental Group |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 100 W El Camino Real, Mountain View, California |
| Authorized Official Name and Position | Shamiram Melko (OWNER) |
| Authorized Official Contact | 6509615975 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Melko Dental Group 100 W El Camino Real Suite 74a Mountain View CA 94040-2664 Ph: (650) 961-5975 | Melko Dental Group 100 W El Camino Real Suite 74a Mountain View CA 94040-2664 Ph: (650) 961-5975 |
| NPI Number | 1265971600 |
|---|---|
| Provider Enumeration Date | 02/17/2017 |
| Last Update Date | 03/25/2021 |
| Certification Date | 03/25/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265971600 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 59565 (California) | Primary |
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