| Camino Dental Group | |
|
1328 W El Camino Real # 1 Mountain View CA 94040-2404 | |
| (650) 962-8773 | |
| (650) 962-8464 |
| Full Name | Camino Dental Group |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 1328 W El Camino Real # 1, Mountain View, California |
| Authorized Official Name and Position | Sheila Tan (ADMINISTRATOR) |
| Authorized Official Contact | 6509628773 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Camino Dental Group 1328 W El Camino Real # 1 Mountain View CA 94040-2404 Ph: (650) 962-8773 | Camino Dental Group 1328 W El Camino Real # 1 Mountain View CA 94040-2404 Ph: (650) 962-8773 |
| NPI Number | 1720011745 |
|---|---|
| Provider Enumeration Date | 07/10/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720011745 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 42954 (California) | Primary |
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 38508 (California) | Primary |
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