| |
341 Gellert Blvd Ste C Daly City CA 94015-2616 | |
(650) 994-2710 | |
Not Available |
Full Name | |
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Speciality | Dentist - Endodontics |
Location | 341 Gellert Blvd Ste C, Daly City, California |
Authorized Official Name and Position | Marshall J Michaelian (OWNER/PRESIDENT) |
Authorized Official Contact | 6509942710 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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341 Gellert Blvd Ste C Daly City CA 94015-2616 Ph: (650) 994-2710 | 341 Gellert Blvd Ste C Daly City CA 94015-2616 Ph: (650) 994-2710 |
NPI Number | 1578012027 |
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Provider Enumeration Date | 09/26/2016 |
Last Update Date | 09/26/2016 |
Identifier | Type | State | Issuer |
---|---|---|---|
1578012027 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223E0200X | Dentist - Endodontics | (* (Not Available)) | Primary |
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