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NPI Code Detail

MEDICARE: ALLURE DENTAL CENTER

MEDICARE: ALLURE DENTAL 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
1122300000XDentist

General Provider Information

NPI Number : 1013112788
Entity Type Code : Organization
Provider Name (Legal Business Name) : ALLURE DENTAL CENTER
Provider Business Mailing Address
First Line : 570 N SHORELINE BLVD STE G
Second Line :
City : MOUNTAIN VIEW
State : CA
Zip : 94043-3106
Country : US
Telephone Number : 650-988-9998
Fax Number : 650-988-7095
Provider Business Practice Location Address
First Line : 570 N SHORELINE BLVD STE G
Second Line :
City : MOUNTAIN VIEW
State : CA
Zip : 94043-3106
Country : US
Telephone Number : 650-988-9998
Fax Number : 650-988-7095
Authorized Official
Title or Position : OWNER DDS
Name : SUZANNA N LEE
Credential : DDS
Telephone Number : 650-988-9998
Provider Enumeration Date : 06/20/2007
Last Update Date : 09/30/2008

Similar Medicare Providers

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1427613439 — LANCE MIKHAEL HANES CDCS
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1689239493 — ANTHONY GERARD BIELER CDCS
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Directions to “ALLURE DENTAL CENTER ” Practice Location

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