Foothill Dental Care | |
881 Fremont Ave Ste B1 Los Altos CA 94024-5637 | |
(650) 949-4734 | |
Not Available |
Full Name | Foothill Dental Care |
---|---|
Speciality | Dentist |
Location | 881 Fremont Ave Ste B1, Los Altos, California |
Authorized Official Name and Position | Susan Ezzati (DENTIST) |
Authorized Official Contact | 6509494734 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Foothill Dental Care 881 Fremont Ave Ste B1 Los Altos CA 94024-5637 Ph: (650) 949-4734 | Foothill Dental Care 881 Fremont Ave Ste B1 Los Altos CA 94024-5637 Ph: (650) 949-4734 |
NPI Number | 1427177815 |
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Provider Enumeration Date | 03/28/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1427177815 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 37544 (California) | Primary |
122300000X | Dentist | 35491 (California) | Secondary |
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