| Midori Tachibana Dds Inc | |
|
901 S El Camino Real San Mateo CA 94402-2311 | |
| (650) 375-1175 | |
| (650) 558-8476 |
| Full Name | Midori Tachibana Dds Inc |
|---|---|
| Speciality | Dentist - Endodontics |
| Location | 901 S El Camino Real, San Mateo, California |
| Authorized Official Name and Position | Midori Tachibana (PRESIDENT) |
| Authorized Official Contact | 6503751175 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Midori Tachibana Dds Inc 901 S El Camino Real San Mateo CA 94402-2311 Ph: (650) 375-1175 | Midori Tachibana Dds Inc 901 S El Camino Real San Mateo CA 94402-2311 Ph: (650) 375-1175 |
| NPI Number | 1730749235 |
|---|---|
| Provider Enumeration Date | 06/17/2019 |
| Last Update Date | 06/17/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730749235 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223E0200X | Dentist - Endodontics | (* (Not Available)) | Primary |
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