Foster City Dental Care | |
675 Mariners Island Blvd Suite 110 San Mateo CA 94404-1062 | |
(650) 577-1988 | |
(650) 577-0835 |
Full Name | Foster City Dental Care |
---|---|
Speciality | Dentist - General Practice |
Location | 675 Mariners Island Blvd, San Mateo, California |
Authorized Official Name and Position | Shirin Shahinfar Imani (PRESIDENT) |
Authorized Official Contact | 6505771988 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Foster City Dental Care 675 Mariners Island Blvd Suite 110 San Mateo CA 94404-1062 Ph: (650) 577-1988 | Foster City Dental Care 675 Mariners Island Blvd Suite 110 San Mateo CA 94404-1062 Ph: (650) 577-1988 |
NPI Number | 1154329084 |
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Provider Enumeration Date | 07/13/2005 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1154329084 | NPI | - | NPPES |
11948 | Other | UT | UNITED HEALTHCARE |
868252 | Other | PA | UNITED CONCORDIA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 42093 (California) | Primary |
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