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1150 El Camino Real Suite 128 San Bruno CA 94066 | |
| (650) 873-8888 | |
| (650) 873-8787 |
| Full Name | |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1150 El Camino Real, San Bruno, California |
| Authorized Official Name and Position | Baldwin Jin Hoo (OWNER) |
| Authorized Official Contact | 6508738888 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
1150 El Camino Real Suite 128 San Bruno CA 94066 Ph: (650) 873-8888 | 1150 El Camino Real Suite 128 San Bruno CA 94066 Ph: (650) 873-8888 |
| NPI Number | 1528109204 |
|---|---|
| Provider Enumeration Date | 02/08/2007 |
| Last Update Date | 06/03/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528109204 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 34714 (California) | Primary |
Family Dentistry San Bruno, Incorporated Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 105 El Camino Real, San Bruno, CA 94066 Phone: 650-866-3084 Fax: 650-866-3081 | |
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