Mt. Tam Pediatric Dentistry | |
770 Tamalpais Dr Ste 317 Corte Madera CA 94925-1737 | |
(775) 303-2282 | |
Not Available |
Full Name | Mt. Tam Pediatric Dentistry |
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Speciality | Dentist - Pediatric Dentistry |
Location | 770 Tamalpais Dr Ste 317, Corte Madera, California |
Authorized Official Name and Position | Stephanie June Hardwick (PEDIATRIC DENTIST) |
Authorized Official Contact | 4153296780 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Mt. Tam Pediatric Dentistry 267 Corte Madera Ave Corte Madera CA 94925-1306 Ph: (775) 303-2282 | Mt. Tam Pediatric Dentistry 770 Tamalpais Dr Ste 317 Corte Madera CA 94925-1737 Ph: (775) 303-2282 |
NPI Number | 1679164339 |
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Provider Enumeration Date | 01/26/2021 |
Last Update Date | 07/12/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1679164339 | NPI | - | NPPES |
1881969517 | Other | CA | NPI TY1 |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
Corte Madera Family Dentistry Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 81 Casa Buena Dr Ste 2, Corte Madera, CA 94925 Phone: 415-924-4772 | |
Paul Cameron, Dds Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 81 Casa Buena Dr, #4, Corte Madera, CA 94925 Phone: 415-924-4435 Fax: 415-924-7421 | |
Fred J Cameron Dds Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 81 Casa Buena Dr, #4, Corte Madera, CA 94925 Phone: 415-924-4435 | |
Joe Armel Dds Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 770 Tamalpais Dr, Suite 304, Corte Madera, CA 94925 Phone: 415-927-4000 Fax: 415-927-7686 |