Individual provider · Type 1 NPI

Mary Yvette Tan Antonio, DDS

General Practice Dentistry · Mountain View, CA

NPI number 1427040252 Active

Practice location

327 Moffett Blvd
Mountain View, CA 94043-4757

Call (650) 961-5424 Map

Fax (650) 961-5466

Mailing address

327C Moffett Blvd
Mountain View, CA 94043-4725

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001X49053 (CA)

General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

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About NPI 1427040252

Mary Yvette Tan Antonio, DDS's National Provider Identifier is 1427040252, issued on Aug 18, 2005. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Mountain View, CA. The record was last updated on Jul 13, 2026.