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570 N Shoreline Blvd Ste G Mountain View CA 94043-3106 | |
| (650) 988-9998 | |
| (650) 988-7095 |
| Full Name | |
|---|---|
| Speciality | Dentist |
| Location | 570 N Shoreline Blvd Ste G, Mountain View, California |
| Authorized Official Name and Position | Suzanna N Lee (OWNER DDS) |
| Authorized Official Contact | 6509889998 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
570 N Shoreline Blvd Ste G Mountain View CA 94043-3106 Ph: (650) 988-9998 | 570 N Shoreline Blvd Ste G Mountain View CA 94043-3106 Ph: (650) 988-9998 |
| NPI Number | 1013112788 |
|---|---|
| Provider Enumeration Date | 06/20/2007 |
| Last Update Date | 09/30/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013112788 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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