| Susan Sales Dental Corporation | |
|
1001 Sneath Ln Ste. 108 San Bruno CA 94066-2308 | |
| (650) 871-2741 | |
| (650) 871-2781 |
| Full Name | Susan Sales Dental Corporation |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1001 Sneath Ln, San Bruno, California |
| Authorized Official Name and Position | Susan Encarnacion Sales (OWNER) |
| Authorized Official Contact | 6508712741 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Susan Sales Dental Corporation 1001 Sneath Ln Ste. 108 San Bruno CA 94066-2308 Ph: (650) 871-2741 | Susan Sales Dental Corporation 1001 Sneath Ln Ste. 108 San Bruno CA 94066-2308 Ph: (650) 871-2741 |
| NPI Number | 1942468921 |
|---|---|
| Provider Enumeration Date | 05/27/2008 |
| Last Update Date | 05/27/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942468921 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 39736 (California) | Primary |
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