| Millbrae Dental Care | |
|
88 Capuchino Dr Millbrae CA 94030-1258 | |
| (650) 583-5880 | |
| (650) 475-0596 |
| Full Name | Millbrae Dental Care |
|---|---|
| Speciality | Dentist |
| Location | 88 Capuchino Dr, Millbrae, California |
| Authorized Official Name and Position | Mark Russell Draheim (VP) |
| Authorized Official Contact | 6505835880 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Millbrae Dental Care 88 Capuchino Dr Millbrae CA 94030-1258 Ph: (650) 583-5880 | Millbrae Dental Care 88 Capuchino Dr Millbrae CA 94030-1258 Ph: (650) 583-5880 |
| NPI Number | 1346560554 |
|---|---|
| Provider Enumeration Date | 06/10/2010 |
| Last Update Date | 08/09/2010 |
| Medicare PECOS PAC ID | 1658562848 |
|---|---|
| Medicare Enrollment ID | O20100930034598 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346560554 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | () | Primary |
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