Healthcare Provider Details

I. General information

NPI: 1417887340
Provider Name (Legal Business Name): ALL SMILE DENTAL CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/21/2026
Last Update Date: 05/21/2026
Certification Date: 05/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

901 CAMPUS DR STE 209
DALY CITY CA
94015-4930
US

IV. Provider business mailing address

901 CAMPUS DR STE 209
DALY CITY CA
94015-4930
US

V. Phone/Fax

Practice location:
  • Phone: 650-550-4595
  • Fax: 650-204-5693
Mailing address:
  • Phone: 650-550-4595
  • Fax: 650-204-5693

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QD0000X
TaxonomyDental Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: SAMUEL S LEUNG
Title or Position: MANAGING DOCTOR
Credential: DDS
Phone: 650-550-4595