| Burlingame Smile Studio | |
|
1740 Marco Polo Way Suite 12 Burlingame CA 94010-4522 | |
| (650) 231-2680 | |
| (650) 240-3878 |
| Full Name | Burlingame Smile Studio |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 1740 Marco Polo Way, Burlingame, California |
| Authorized Official Name and Position | April Lee (OWNER/ PRESIDENT) |
| Authorized Official Contact | 6502312680 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Burlingame Smile Studio 1740 Marco Polo Way Suite 12 Burlingame CA 94010-4522 Ph: (650) 231-2680 | Burlingame Smile Studio 1740 Marco Polo Way Suite 12 Burlingame CA 94010-4522 Ph: (650) 231-2680 |
| NPI Number | 1760871032 |
|---|---|
| Provider Enumeration Date | 01/09/2015 |
| Last Update Date | 01/09/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760871032 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 54008 (California) | Primary |
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