| Conley Dental Corporation | |
|
901 Campus Dr Ste 304 Daly City CA 94015-4930 | |
| (650) 756-1900 | |
| (650) 756-9287 |
| Full Name | Conley Dental Corporation |
|---|---|
| Speciality | Clinic/Center |
| Location | 901 Campus Dr Ste 304, Daly City, California |
| Authorized Official Name and Position | Charles D Conley (OWNER/DENTIST) |
| Authorized Official Contact | 4153477177 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Conley Dental Corporation 89 Teddy Ave San Francisco CA 94134-2345 Ph: (415) 347-7177 | Conley Dental Corporation 901 Campus Dr Ste 304 Daly City CA 94015-4930 Ph: (650) 756-1900 |
| NPI Number | 1154805463 |
|---|---|
| Provider Enumeration Date | 09/21/2018 |
| Last Update Date | 09/21/2018 |
| Medicare PECOS PAC ID | 4880040203 |
|---|---|
| Medicare Enrollment ID | O20231020002695 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154805463 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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