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990 Bay Street Mountain View CA 94040 | |
(650) 968-4000 | |
(650) 691-4472 |
Full Name | |
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Speciality | Dentist - General Practice |
Location | 990 Bay Street, Mountain View, California |
Authorized Official Name and Position | Roberto V Espejo (PRESIDENT) |
Authorized Official Contact | 6509684000 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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990 Bay Street Mountain View CA 94040 Ph: (650) 968-4000 | 990 Bay Street Mountain View CA 94040 Ph: (650) 968-4000 |
NPI Number | 1720114101 |
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Provider Enumeration Date | 02/27/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1720114101 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1223G0001X | Dentist - General Practice | 37820 (California) | Primary |
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