Tamal Vista Family Dentistry | |
1447 4th St San Rafael CA 94901-2811 | |
(415) 453-4720 | |
(415) 453-4727 |
Full Name | Tamal Vista Family Dentistry |
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Speciality | Clinic/center - Dental |
Location | 1447 4th St, San Rafael, California |
Authorized Official Name and Position | Daniel Eric Scott (OWNER) |
Authorized Official Contact | 4154534720 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Tamal Vista Family Dentistry 1447 4th St San Rafael CA 94901-2811 Ph: (415) 453-4720 | Tamal Vista Family Dentistry 1447 4th St San Rafael CA 94901-2811 Ph: (415) 453-4720 |
NPI Number | 1154999134 |
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Provider Enumeration Date | 06/15/2021 |
Last Update Date | 06/15/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1154999134 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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