Bay Meadows Orthodontics | |
3455 Pacific Blvd Ste 1 San Mateo CA 94403-2836 | |
(650) 638-1500 | |
(650) 638-1511 |
Full Name | Bay Meadows Orthodontics |
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Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
Location | 3455 Pacific Blvd Ste 1, San Mateo, California |
Authorized Official Name and Position | Peter Hongtai Lam (PRESIDENT) |
Authorized Official Contact | 6506381500 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Bay Meadows Orthodontics 3455 Pacific Blvd Ste 1 San Mateo CA 94403-2836 Ph: (650) 638-1500 | Bay Meadows Orthodontics 3455 Pacific Blvd Ste 1 San Mateo CA 94403-2836 Ph: (650) 638-1500 |
NPI Number | 1447447842 |
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Provider Enumeration Date | 09/28/2007 |
Last Update Date | 09/28/2007 |
Identifier | Type | State | Issuer |
---|---|---|---|
1447447842 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 42927 (California) | Primary |
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