| Mid - Peninsula Dental Group | |
|
1601 El Camino Real Ste 305 Belmont CA 94002 | |
| (650) 651-1601 | |
| (650) 551-1611 |
| Full Name | Mid - Peninsula Dental Group |
|---|---|
| Speciality | Dentist |
| Location | 1601 El Camino Real, Belmont, California |
| Authorized Official Name and Position | Mary Rose Ventura Garcia (PRESIDENT GENERAL DENTIST) |
| Authorized Official Contact | 6505511601 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mid - Peninsula Dental Group 1601 El Camino Real Ste 305 Belmont CA 94002 Ph: (650) 651-1601 | Mid - Peninsula Dental Group 1601 El Camino Real Ste 305 Belmont CA 94002 Ph: (650) 651-1601 |
| NPI Number | 1245334713 |
|---|---|
| Provider Enumeration Date | 09/12/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245334713 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 40593 (California) | Primary |
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