| Bert D. Rouleau D.m.d, M.s. Ink | |
|
1174 Castro St Ste 120 Mountain View CA 94040-2569 | |
| (650) 964-6400 | |
| (650) 964-0797 |
| Full Name | Bert D. Rouleau D.m.d, M.s. Ink |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 1174 Castro St Ste 120, Mountain View, California |
| Authorized Official Name and Position | Gabriela A Martinez (RDA) |
| Authorized Official Contact | 6509646400 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bert D. Rouleau D.m.d, M.s. Ink 1174 Castro St Ste 120 Mountain View CA 94040-2569 Ph: (650) 964-6400 | Bert D. Rouleau D.m.d, M.s. Ink 1174 Castro St Ste 120 Mountain View CA 94040-2569 Ph: (650) 964-6400 |
| NPI Number | 1225179047 |
|---|---|
| Provider Enumeration Date | 02/12/2007 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225179047 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (California) | Primary |
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