| San Bruno Smile | |
|
797 Jenevein Ave San Bruno CA 94066-4231 | |
| (650) 873-8299 | |
| Not Available |
| Full Name | San Bruno Smile |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 797 Jenevein Ave, San Bruno, California |
| Authorized Official Name and Position | Maria Lourdes Yeo (OWNER) |
| Authorized Official Contact | 6508738299 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| San Bruno Smile 797 Jenevein Ave San Bruno CA 94066-4231 Ph: (650) 873-8299 | San Bruno Smile 797 Jenevein Ave San Bruno CA 94066-4231 Ph: (650) 873-8299 |
| NPI Number | 1417719964 |
|---|---|
| Provider Enumeration Date | 01/29/2024 |
| Last Update Date | 06/05/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417719964 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Secondary |
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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