| Nazareth Plaza Dental Group | |
|
800 S B St Ste 200 San Mateo CA 94401-4273 | |
| (650) 343-0884 | |
| (650) 375-0231 |
| Full Name | Nazareth Plaza Dental Group |
|---|---|
| Speciality | Dentist |
| Location | 800 S B St Ste 200, San Mateo, California |
| Authorized Official Name and Position | Lerida Felizardo Lipumano-picazo (DENTIST/OWNER) |
| Authorized Official Contact | 6503430884 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nazareth Plaza Dental Group 800 S B St Ste 200 San Mateo CA 94401-4273 Ph: (650) 343-0884 | Nazareth Plaza Dental Group 800 S B St Ste 200 San Mateo CA 94401-4273 Ph: (650) 343-0884 |
| NPI Number | 1417385006 |
|---|---|
| Provider Enumeration Date | 10/17/2013 |
| Last Update Date | 10/17/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417385006 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 40848 (California) | Primary |
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