| Eugene V Espiritu, Dmd Professional Dental Corporation | |
|
1230 El Camino Real Ste K San Bruno CA 94066-1300 | |
| (650) 875-6808 | |
| (650) 875-3755 |
| Full Name | Eugene V Espiritu, Dmd Professional Dental Corporation |
|---|---|
| Speciality | Dentist |
| Location | 1230 El Camino Real Ste K, San Bruno, California |
| Authorized Official Name and Position | Eugene Velarde Espiritu (OWNER) |
| Authorized Official Contact | 6508756808 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Eugene V Espiritu, Dmd Professional Dental Corporation 1230 El Camino Real Ste K San Bruno CA 94066-1300 Ph: (650) 875-6808 | Eugene V Espiritu, Dmd Professional Dental Corporation 1230 El Camino Real Ste K San Bruno CA 94066-1300 Ph: (650) 875-6808 |
| NPI Number | 1699045989 |
|---|---|
| Provider Enumeration Date | 01/04/2012 |
| Last Update Date | 01/04/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699045989 | NPI | - | NPPES |
| B33758-01 | Other | CA | DELTA STATE GOVT PROGRAM |
| 775195 | Other | CA | UNITED CONCORDIA |
| 143260 | Other | CA | UNITED HEALTHCARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 33758 (California) | Primary |
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