Organization · Type 2 NPI
Peninsula Pediatric Dental Practice
Pediatric Dentistry · San Mateo, CA
NPI number
1639590003
Active
Practice location
50 S San Mateo Dr Ste 160
San Mateo, CA 94401-3859
Fax (650) 375-8130
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Dentistry | 1223P0221X | 22673 (CA) |
| Pediatric Dentistry Primary | 1223P0221X | 61391 (CA) |
Pediatric Dentistry: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
2 other providers at this address
Other pediatric dentistry providers in San Mateo
About NPI 1639590003
Peninsula Pediatric Dental Practice's National Provider Identifier is 1639590003, issued on Jan 2, 2014. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in San Mateo, CA. The record was last updated on Jan 2, 2014.