MEDICARE: DENTAL FIRST ORAL HEALTH CARE CENTER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry

General Provider Information

NPI Number	:	1114936382
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DENTAL FIRST ORAL HEALTH CARE CENTER

Provider Business Mailing Address
First Line	:	UNIT 604 THE ONE EXECUTIVE OFFICE BUILDING
Second Line	:	#5 WEST AVENUE
City	:	QUEZON CITY
State	:	METRO MANILA
Zip	:	1104
Country	:	PH
Telephone Number	:	632-412-1393
Fax Number	:	632-376-2776

Provider Business Practice Location Address
First Line	:	UNIT 604 THE ONE EXECUTIVE OFFICE BUILDING
Second Line	:	#5 WEST AVENUE
City	:	QUEZON CITY
State	:	METRO MANILA
Zip	:	1104
Country	:	PH
Telephone Number	:	632-412-1393
Fax Number	:	632-376-2776

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. SHEILA THERESE MANCAO GALENZOGA
Credential	:	DMD
Telephone Number	:	632-412-1393

Provider Enumeration Date	:	08/06/2006
Last Update Date	:	07/21/2022

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