| San Bruno Dental Center | |
|
1001 San Bruno Ave W San Bruno CA 94066-3318 | |
| (650) 873-4740 | |
| (650) 873-3179 |
| Full Name | San Bruno Dental Center |
|---|---|
| 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 |
|---|---|
| San Bruno Dental Center 1001 San Bruno Ave W San Bruno CA 94066-3318 Ph: (650) 873-4740 | San Bruno Dental Center 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 |
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