Individual provider · Type 1 NPI

Carlene Ann Mendieta

Periodontics · San Francisco, CA

NPI number 1629665393 Active

Practice location

155 5th St
San Francisco, CA 94103-2919

Mailing address

19500 7th St E
Sonoma, CA 95476-7201

Specialties and licenses

TaxonomyCodeLicense
Periodontics Primary 1223P0300X34741 (CA)

Periodontics: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.

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About NPI 1629665393

Carlene Ann Mendieta's National Provider Identifier is 1629665393, issued on Dec 28, 2020. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in San Francisco, CA. The record was last updated on Dec 28, 2020.