Quanli Dong Dds Inc | |
355 Gellert Blvd Suite 152 Daly City CA 94015-2665 | |
(650) 755-7573 | |
Not Available |
Full Name | Quanli Dong Dds Inc |
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Speciality | Clinic/center - Dental |
Location | 355 Gellert Blvd, Daly City, California |
Authorized Official Name and Position | Quanli Dong (PRESIDENT) |
Authorized Official Contact | 6507557573 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Quanli Dong Dds Inc 355 Gellert Blvd Suite 152 Daly City CA 94015-2665 Ph: () - | Quanli Dong Dds Inc 355 Gellert Blvd Suite 152 Daly City CA 94015-2665 Ph: (650) 755-7573 |
NPI Number | 1255616561 |
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Provider Enumeration Date | 10/18/2011 |
Last Update Date | 10/18/2011 |
Identifier | Type | State | Issuer |
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1255616561 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | 54137 (California) | Primary |
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