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505 South Dr Suite 4 Mountain View CA 94040-4212 | |
| (650) 965-2222 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 505 South Dr, Mountain View, California |
| Authorized Official Name and Position | Abhishek Mogre (PRESIDENT) |
| Authorized Official Contact | 9782392856 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
505 South Dr Suite 4 Mountain View CA 94040-4212 Ph: (650) 965-2222 | 505 South Dr Suite 4 Mountain View CA 94040-4212 Ph: (650) 965-2222 |
| NPI Number | 1750743043 |
|---|---|
| Provider Enumeration Date | 03/24/2016 |
| Last Update Date | 03/24/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750743043 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 60062 (California) | Primary |
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