| Michael SIU, DDS | |
|
334 Dutton Ave San Leandro CA 94577-2806 | |
| (415) 637-6112 | |
| Not Available |
| Full Name | Michael SIU, DDS |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 334 Dutton Ave, San Leandro, California |
| Authorized Official Name and Position | Michael SIU (GENERAL DENTIST/PRESIDENT) |
| Authorized Official Contact | 4156376112 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Michael SIU, DDS 334 Dutton Ave San Leandro CA 94577-2806 Ph: (415) 637-6112 | Michael SIU, DDS 334 Dutton Ave San Leandro CA 94577-2806 Ph: (415) 637-6112 |
| NPI Number | 1073109138 |
|---|---|
| Provider Enumeration Date | 12/14/2020 |
| Last Update Date | 12/14/2020 |
| Certification Date | 12/14/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073109138 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (NU) | Primary |
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