Marina Dental

NPI #1093111668 in San Mateo, California

Provider Information

NPI Number: 1093111668
Entity Type: Organization
Organization Name: Marina Dental
Primary Specialty: Dentist
Enumeration Date: Nov 10, 2014
Last Updated: Nov 10, 2014

Practice Location

Address: 2996 S NORFOLK ST STE E
City: San Mateo
State: California
ZIP Code: 94403-2076
Phone: (650) 349-0111

Authorized Official

Name: DR. JAMES S LEE, D.M.D.
Title: OWNER
Phone: (650) 349-0111

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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