| Peninsula Orthodontic Group, Inc | |
|
11 Birch St Ste 100 Redwood City CA 94062-1480 | |
| (650) 298-8400 | |
| Not Available |
| Full Name | Peninsula Orthodontic Group, Inc |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 11 Birch St Ste 100, Redwood City, California |
| Authorized Official Name and Position | James Tsau (PRESIDENT) |
| Authorized Official Contact | 6502602868 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Peninsula Orthodontic Group, Inc 563 Leahy St Redwood City CA 94061-3877 Ph: (650) 260-2868 | Peninsula Orthodontic Group, Inc 11 Birch St Ste 100 Redwood City CA 94062-1480 Ph: (650) 298-8400 |
| NPI Number | 1104005529 |
|---|---|
| Provider Enumeration Date | 11/01/2007 |
| Last Update Date | 02/12/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104005529 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 50540 (California) | Primary |
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