CORTE MADERA FAMILY DENTISTRY INC. is a dental clinic center in Corte Madera, CA. CORTE MADERA FAMILY DENTISTRY INC. NPI is 1194311811. The provider is registered as an organization entity type.
The provider's business location address is:
81 CASA BUENA DR STE 2 CORTE MADERA, CA ZIP 94925-710 Phone: (415) 924-4772
The provider's authorized official is Cameron Thane Garrett . The authorized official title is Owner/employee and has the following contact phone number (415) 924-4772.
The CLIA number assigned to this NPI record is 05D0950225 - mobile laboratory with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 12/16/2020 and was last updated on 12/16/2020.
The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:
NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.
This page was last updated on: 3/30/2025
NPI Synchronization or Removal
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