| Coastside Dentistry | |
|
840 Main St Suite A Half Moon Bay CA 94019-2187 | |
| (650) 726-6884 | |
| Not Available |
| Full Name | Coastside Dentistry |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 840 Main St, Half Moon Bay, California |
| Authorized Official Name and Position | Johannes P Knueppel (OWNER) |
| Authorized Official Contact | 6507266884 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Coastside Dentistry 840 Main St Suite A Half Moon Bay CA 94019-2187 Ph: (650) 726-6884 | Coastside Dentistry 840 Main St Suite A Half Moon Bay CA 94019-2187 Ph: (650) 726-6884 |
| NPI Number | 1275905150 |
|---|---|
| Provider Enumeration Date | 10/30/2015 |
| Last Update Date | 10/30/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275905150 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 59443 (California) | Primary |
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