| |
1040 N Rengstorff Ave Ste A3 Mountain View CA 94043-1761 | |
(650) 938-3838 | |
(650) 938-9898 |
Full Name | |
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Speciality | Dentist - General Practice |
Location | 1040 N Rengstorff Ave Ste A3, Mountain View, California |
Authorized Official Name and Position | Serena Hu (PRESIDENT) |
Authorized Official Contact | 6509383838 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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1040 N. Rengstorff Ave. #a3 Mountain View CA 94043 Ph: (650) 938-3838 | 1040 N Rengstorff Ave Ste A3 Mountain View CA 94043-1761 Ph: (650) 938-3838 |
NPI Number | 1144385477 |
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Provider Enumeration Date | 12/27/2006 |
Last Update Date | 07/21/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1144385477 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 43795 (California) | Primary |
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