| Redwood Smiles | |
|
160 Birch St Redwood City CA 94062-1307 | |
| (650) 369-3695 | |
| Not Available |
| Full Name | Redwood Smiles |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 160 Birch St, Redwood City, California |
| Authorized Official Name and Position | Keerthi Golla (DENTIST) |
| Authorized Official Contact | 6503693695 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Redwood Smiles Po Box 340129 Sacramento CA 95834-0129 Ph: (916) 419-9939 | Redwood Smiles 160 Birch St Redwood City CA 94062-1307 Ph: (650) 369-3695 |
| NPI Number | 1477085603 |
|---|---|
| Provider Enumeration Date | 03/28/2017 |
| Last Update Date | 03/28/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477085603 | NPI | - | NPPES |
| 100398 | Other | CA | DENTAL LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 100398 (California) | Primary |
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