| Erwin T Carracedo Dmd, Inc | |
|
3540 Callan Blvd. Ste 100 South San Francisco CA 94080 | |
| (650) 742-9092 | |
| (650) 742-9093 |
| Full Name | Erwin T Carracedo Dmd, Inc |
|---|---|
| Speciality | Dentist |
| Location | 3540 Callan Blvd. Ste 100, South San Francisco, California |
| Authorized Official Name and Position | Erwin Tamayo Carracedo (PRESIDENT) |
| Authorized Official Contact | 6507429092 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Erwin T Carracedo Dmd, Inc 3540 Callan Blvd. Ste 100 South San Francisco CA 94080 Ph: (650) 742-9092 | Erwin T Carracedo Dmd, Inc 3540 Callan Blvd. Ste 100 South San Francisco CA 94080 Ph: (650) 742-9092 |
| NPI Number | 1619292117 |
|---|---|
| Provider Enumeration Date | 03/29/2010 |
| Last Update Date | 03/29/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619292117 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 40417 (California) | Primary |
Raymond J. Sheridan D.d.s. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2400 Westborough Blvd, Suite 107, South San Francisco, CA 94080 Phone: 650-876-0866 | |
Kelvin C. Choi, D.d.s., Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2400 Westborough Blvd, Suite 103, South San Francisco, CA 94080 Phone: 650-871-1400 Fax: 650-871-5541 | |
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Noel S. Miranda, Dmd Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1486 Huntington Ave Ste 302, South San Francisco, CA 94080 Phone: 650-583-8822 | |
Chompers Pediatric Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1215 Mission Rd, South San Francisco, CA 94080 Phone: 650-871-5437 | |
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