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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

PENINSULA PEDIATRIC DENTAL PRACTICE

Active Organization

PENINSULA PEDIATRIC DENTAL PRACTICE is a Pediatric Dentistry organization located in SAN MATEO, California. NPI 1639590003 is currently active in the NPPES registry. Verify at CMS.

Pediatric Dentistry · SAN MATEO, CA

Registration Details

NPI Number
1639590003
Provider Type
Organization
NPI Issued
Jan 2, 2014 (12.64713435446 yrs)
Last Updated
Jan 2, 2014
Licenses
22673 (CA)
61391 (CA)

Practice Information

Address
50 S SAN MATEO DR STE 160
SAN MATEO, CA, 944013859
Browse CA providers · Browse ZIP 94401
Phone
6503758300
Fax
6503758130
Primary Specialty
Pediatric Dentistry
1223P0221X
Additional Specialty
Pediatric Dentistry

Other Pediatric Dentistry Organizations in SAN MATEO, CA

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.