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112 Park Place Millbrae CA 94030-1235 | |
| (650) 588-3080 | |
| (650) 588-3081 |
| Full Name | |
|---|---|
| Speciality | Dentist |
| Location | 112 Park Place, Millbrae, California |
| Authorized Official Name and Position | Janet C. Lim (DENTIST) |
| Authorized Official Contact | 6505883080 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
112 Park Pl Millbrae CA 94030-1235 Ph: (650) 588-3080 | 112 Park Place Millbrae CA 94030-1235 Ph: (650) 588-3080 |
| NPI Number | 1790934354 |
|---|---|
| Provider Enumeration Date | 09/18/2008 |
| Last Update Date | 09/18/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790934354 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 44972 (California) | Primary |
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