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Organization
SONRISAS DENTAL HEALTH, INC
Active
Organization
SONRISAS DENTAL HEALTH, INC
Active
Other names
Apple Tree Dental, Sonrisas Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BONNIE JUE DDS (CEO/DENTAL DIRECTOR)
(650) 727-3480
Entity
Organization
Contact information
Practice address
210 SAN MATEO RD, 104, HALF MOON BAY, CA 94019-7172
(650) 726-2144
(650) 726-2726
Mailing address
430 N. EL CAMINO REAL, SAN MATEO, CA 94401
(650) 727-3480
(650) 727-3519
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
G92656-01
—
CA
01
—
G98078
HEALTHY FAMILIES
CA
Enumeration date
04/19/2007
Last updated
10/16/2018
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