| Su Ping Mai DMD Inc | |
|
514 Estudillo Ave San Leandro CA 94577-4612 | |
| (510) 483-5553 | |
| Not Available |
| Full Name | Su Ping Mai DMD Inc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 514 Estudillo Ave, San Leandro, California |
| Authorized Official Name and Position | Su Ping Mai (PRESIDENT) |
| Authorized Official Contact | 4159713712 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Su Ping Mai DMD Inc 18447 Fleetwood Ave Castro Valley CA 94546-2232 | Su Ping Mai DMD Inc 514 Estudillo Ave San Leandro CA 94577-4612 Ph: (510) 483-5553 |
| NPI Number | 1770303380 |
|---|---|
| Provider Enumeration Date | 10/16/2024 |
| Last Update Date | 10/16/2024 |
| Certification Date | 10/16/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770303380 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | () | Primary |
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