| Peninsula Children's Dentistry | |
|
1390 El Camino Real Suite 150 San Carlos CA 94070-5146 | |
| (650) 740-5277 | |
| Not Available |
| Full Name | Peninsula Children's Dentistry |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 1390 El Camino Real, San Carlos, California |
| Authorized Official Name and Position | Purvi Zavery (PRESIDENT) |
| Authorized Official Contact | 6507405277 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Peninsula Children's Dentistry 20 Cadiz Cir Redwood City CA 94065-1332 Ph: (650) 740-5277 | Peninsula Children's Dentistry 1390 El Camino Real Suite 150 San Carlos CA 94070-5146 Ph: (650) 740-5277 |
| NPI Number | 1942433206 |
|---|---|
| Provider Enumeration Date | 09/02/2009 |
| Last Update Date | 09/02/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942433206 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 48927 (California) | Primary |
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