| Pacific Dental Center | |
|
100 S El Camino Real San Mateo CA 94401-3810 | |
| (650) 343-4040 | |
| (650) 347-6322 |
| Full Name | Pacific Dental Center |
|---|---|
| Speciality | Dentist |
| Location | 100 S El Camino Real, San Mateo, California |
| Authorized Official Name and Position | Yao-lin Tang (PRESIDENT) |
| Authorized Official Contact | 6503434040 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pacific Dental Center 100 S El Camino Real San Mateo CA 94401-3810 Ph: (650) 343-4040 | Pacific Dental Center 100 S El Camino Real San Mateo CA 94401-3810 Ph: (650) 343-4040 |
| NPI Number | 1710199195 |
|---|---|
| Provider Enumeration Date | 05/05/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710199195 | NPI | - | NPPES |
| G91251-01 | Other | CA | DENTI-CAL PROVIDER NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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