|
| |
|
74 W El Camino Real Mountain View CA 94040-2643 | |
| (650) 988-9458 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Dentist |
| Location | 74 W El Camino Real, Mountain View, California |
| Authorized Official Name and Position | Joseph J Lee (OWNER) |
| Authorized Official Contact | 6509889458 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
74 W El Camino Real Mountain View CA 94040-2643 Ph: (650) 988-9458 | 74 W El Camino Real Mountain View CA 94040-2643 Ph: (650) 988-9458 |
| NPI Number | 1699199687 |
|---|---|
| Provider Enumeration Date | 02/11/2014 |
| Last Update Date | 02/11/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699199687 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
| 332BC3200X | Durable Medical Equipment & Medical Supplies - Customized Equipment | (* (Not Available)) | Secondary |
Michael J Fong, Dds, Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2500 Hospital Dr, #6, Mountain View, CA 94040 Phone: 650-968-3146 | |
Shireen Choudhury Dds A Professional Dental Corporation Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2425 California St Ste D, Mountain View, CA 94040 Phone: 650-967-1389 Fax: 650-852-9756 | |
Serenity Sleep Solutions Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 105 South Dr Ste 140, Mountain View, CA 94040 Phone: 650-938-1868 Fax: 650-938-1968 | |
Min Jeong Katherine Kim D.d.s., Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1077 Brighton Pl, Mountain View, CA 94040 Phone: 617-331-5360 | |