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Organization

BAY DENTAL ASSOCIATES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DORIS NISHIMOTO D.D.S. (OWNER)
(650) 344-1844
Entity
Organization

Contact information

Practice address
320 N SAN MATEO DR # 2, SAN MATEO, CA 94401-2514
(650) 344-1844
Mailing address
78 N ELLSWORTH AVE, SAN MATEO, CA 94401-2820
(650) 344-1845

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
27549
CA

Other

Enumeration date
07/14/2006
Last updated
12/16/2008
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