| Mary Dental Office | |
|
415 N Mary Ave Suite 114 Sunnyvale CA 94085-4119 | |
| (408) 739-0093 | |
| Not Available |
| Full Name | Mary Dental Office |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 415 N Mary Ave, Sunnyvale, California |
| Authorized Official Name and Position | Divya R Doshi (CEO) |
| Authorized Official Contact | 4087390093 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mary Dental Office 415 North Mary Ave Suite 114 Sunnyvale CA 94085-4189 Ph: (408) 739-0093 | Mary Dental Office 415 N Mary Ave Suite 114 Sunnyvale CA 94085-4119 Ph: (408) 739-0093 |
| NPI Number | 1578686838 |
|---|---|
| Provider Enumeration Date | 04/09/2007 |
| Last Update Date | 06/26/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578686838 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 39626 (California) | Primary |
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