Organization
SUSAN SALES DENTAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUSAN ENCARNACION SALES D.D.S. (OWNER)
(650) 871-2741
Entity
Organization
Contact information
Practice address
1001 SNEATH LN, STE. 108, SAN BRUNO, CA 94066-2308
(650) 871-2741
(650) 871-2781
Mailing address
1001 SNEATH LN, STE. 108, SAN BRUNO, CA 94066-2308
(650) 871-2741
(650) 871-2781
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
39736
CA
Other
Enumeration date
05/27/2008
Last updated
05/27/2008
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