| Blue Rock Dental | |
|
70 N El Camino Real Suite B San Mateo CA 94401-7500 | |
| (650) 685-1400 | |
| (650) 685-1401 |
| Full Name | Blue Rock Dental |
|---|---|
| Speciality | Dentist |
| Location | 70 N El Camino Real, San Mateo, California |
| Authorized Official Name and Position | Darpan Kundra (PRESIDENT/OWNER) |
| Authorized Official Contact | 6502746754 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Blue Rock Dental 6248 Pebble Beach Dr Vallejo CA 94591-6300 Ph: (650) 274-6754 | Blue Rock Dental 70 N El Camino Real Suite B San Mateo CA 94401-7500 Ph: (650) 685-1400 |
| NPI Number | 1760812119 |
|---|---|
| Provider Enumeration Date | 11/22/2013 |
| Last Update Date | 11/22/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760812119 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 55871 (California) | Primary |
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