| Mjq Family Dentistry | |
|
125 East N Street Benicia CA 94510 | |
| (707) 745-0636 | |
| Not Available |
| Full Name | Mjq Family Dentistry |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 125 East N Street, Benicia, California |
| Authorized Official Name and Position | Mel Quiba (DENTIST) |
| Authorized Official Contact | 7077450636 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mjq Family Dentistry 125 East N Street Benicia CA 94510 Ph: (707) 745-0636 | Mjq Family Dentistry 125 East N Street Benicia CA 94510 Ph: (707) 745-0636 |
| NPI Number | 1093150740 |
|---|---|
| Provider Enumeration Date | 05/08/2013 |
| Last Update Date | 05/08/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093150740 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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