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ANNABEL S. KOA DMD INC NPI 1720602444


NPI Information

NPI: 1720602444
Provider Name: ANNABEL S. KOA , DMD INC
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
400 N SAN MATEO DR STE 2
SAN MATEO, CA
ZIP 94401
Phone: (650) 484-8851
Get Directions

ANNABEL S. KOA , DMD INC is a general practice dentist in San Mateo, CA. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. ANNABEL S. KOA , DMD INC NPI is 1720602444. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

400 N SAN MATEO DR STE 2
SAN MATEO, CA
ZIP 94401-418
Phone: (650) 484-8851

The provider's authorized official is Juvith Bing Palado-velasco .
The authorized official title is Dental Biller and has the following contact phone number (650) 484-8851.

The enumeration date for this NPI number is 5/29/2020 and was last updated on 5/29/2020.


Taxonomy Codes

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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223G0001XDentistGeneral PracticeYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
152877OTHERCALIFORNIADENTAL LICENSE

What is NPI?

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: 11/14/2023

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