| Deccan Dental | |
|
320 N San Mateo Dr # 2 San Mateo CA 94401-2514 | |
| (650) 477-6920 | |
| (650) 344-1845 |
| Full Name | Deccan Dental |
|---|---|
| Speciality | Dentist |
| Location | 320 N San Mateo Dr # 2, San Mateo, California |
| Authorized Official Name and Position | Samir Nanjapa (PRESIDENT) |
| Authorized Official Contact | 6504776920 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Deccan Dental 60 Barneson Ave San Mateo CA 94402-2906 Ph: (415) 216-5068 | Deccan Dental 320 N San Mateo Dr # 2 San Mateo CA 94401-2514 Ph: (650) 477-6920 |
| NPI Number | 1730525650 |
|---|---|
| Provider Enumeration Date | 05/19/2013 |
| Last Update Date | 05/19/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730525650 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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