| Willow Family Dentistry | |
|
910 Willow Rd Menlo Park CA 94025-2544 | |
| (650) 326-3764 | |
| (650) 326-1069 |
| Full Name | Willow Family Dentistry |
|---|---|
| Speciality | Dentist |
| Location | 910 Willow Rd, Menlo Park, California |
| Authorized Official Name and Position | Anandhi Djegaradjane (OWNER/PRESIDENT) |
| Authorized Official Contact | 6503263764 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Willow Family Dentistry 910 Willow Rd Menlo Park CA 94025-2544 Ph: (650) 326-3764 | Willow Family Dentistry 910 Willow Rd Menlo Park CA 94025-2544 Ph: (650) 326-3764 |
| NPI Number | 1700289691 |
|---|---|
| Provider Enumeration Date | 10/06/2014 |
| Last Update Date | 10/07/2014 |
| Medicare PECOS PAC ID | 4880918465 |
|---|---|
| Medicare Enrollment ID | O20150130002218 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700289691 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 47069 (California) | Primary |
| Provider Name | Anandhi Djegaradjane |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1962506006 PECOS PAC ID: 5799009379 Enrollment ID: I20150130002254 |
Alok Arora, Dmd, Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 695 Oak Grove Ave, Suite 300, Menlo Park, CA 94025 Phone: 650-321-1223 | |
Eunhae Park Kwon, Dds, Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1300 University Dr Ste 8, Menlo Park, CA 94025 Phone: 650-323-0264 | |
Samaneh Daftarian Dental Corp Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 625 Menlo Ave, Menlo Park, CA 94025 Phone: 650-324-9272 | |
Yekta Rafaty Dds, Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 888 Oak Grove Ave., Suite #2, Menlo Park, CA 94025 Phone: 650-325-0465 Fax: 650-325-1431 | |
Katherine Brown,dds Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 625 Menlo Ave, Ste 5, Menlo Park, CA 94025 Phone: 650-328-8544 | |
Trishal Lamba, Dds Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1300 University Dr Ste 7, Menlo Park, CA 94025 Phone: 650-326-1682 | |
Jessie V. Vallee, Dds Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1300 University Dr Ste 5, Menlo Park, CA 94025 Phone: 650-325-7711 Fax: 650-325-7715 |