Individual provider · Type 1 NPI

Maria Lilibeth Licayan Jose, DDS

General Practice Dentistry · Hayward, CA

NPI number 1790770592 Active

Practice location

26953 Mission Blvd, Suite J
Hayward, CA 94544-4156

Call (510) 690-9896 Map

Fax (510) 690-9899

Mailing address

28877 Bailey Ranch Rd
Hayward, CA 94542-2168

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001X40449 (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 1790770592

Maria Lilibeth Licayan Jose, DDS's National Provider Identifier is 1790770592, issued on Sep 17, 2005. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Hayward, CA. The record was last updated on Jul 13, 2026.