| Perpetua Madrilejo Dental Office Inc. | |
|
6273 Mission St 200 Daly City CA 94014 | |
| (650) 991-7300 | |
| (650) 756-0966 |
| Full Name | Perpetua Madrilejo Dental Office Inc. |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 6273 Mission St, Daly City, California |
| Authorized Official Name and Position | Perpetua Galguera Madrilejo (DENTIST/OWNER) |
| Authorized Official Contact | 6509917300 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Perpetua Madrilejo Dental Office Inc. 6273 Mission St 200 Daly City CA 94014 Ph: (650) 991-7300 | Perpetua Madrilejo Dental Office Inc. 6273 Mission St 200 Daly City CA 94014 Ph: (650) 991-7300 |
| NPI Number | 1790161552 |
|---|---|
| Provider Enumeration Date | 08/04/2015 |
| Last Update Date | 08/04/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790161552 | NPI | - | NPPES |
| 1639388838 | Other | CA | DENTI - CAL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 26472 (California) | Primary |
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