| |
1001 San Bruno Ave W San Bruno CA 94066-3318 | |
(650) 873-4740 | |
(650) 873-3179 |
Full Name | |
---|---|
Speciality | Dentist |
Location | 1001 San Bruno Ave W, San Bruno, California |
Authorized Official Name and Position | Maria Luisa Bugarin Santos (CEO/DENTIST) |
Authorized Official Contact | 6508734740 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
1001 San Bruno Ave W San Bruno CA 94066-3318 Ph: (650) 873-4740 | 1001 San Bruno Ave W San Bruno CA 94066-3318 Ph: (650) 873-4740 |
NPI Number | 1538577663 |
---|---|
Provider Enumeration Date | 08/01/2014 |
Last Update Date | 08/01/2014 |
Identifier | Type | State | Issuer |
---|---|---|---|
1538577663 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | (* (Not Available)) | Primary |
Family Dentistry San Bruno, Incorporated Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 105 El Camino Real, San Bruno, CA 94066 Phone: 650-866-3084 Fax: 650-866-3081 | |
A Parikh Dds, Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1490 El Camino Real, San Bruno, CA 94066 Phone: 650-871-2917 Fax: 650-871-7476 | |
Luisa F Diaz Dmd Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 851 Cherry Ave Ste 36, San Bruno, CA 94066 Phone: 650-873-9500 Fax: 650-873-7328 | |