Individual
MR. ANTHONY WILLIAM FERRERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
341 NORTH SAN MATEO DRIVE, SUITE #1, SAN MATEO, CA 94401
(650) 697-4999
(650) 348-1922
Mailing address
341 NORTH SAN MATEO DRIVE, SUITE #1, SAN MATEO, CA 94401
(650) 697-4999
(650) 348-1922
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
57429
CA
1223G0001X
General Practice Dentistry
57429
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
FI115A
MEDICARE PTAN
CA
Enumeration date
05/27/2009
Last updated
07/14/2016
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