Family Dentistry San Bruno, Incorporated

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

44859 Issued in CA

Legal business name

FAMILY DENTISTRY SAN BRUNO, INCORPORATED

Practice address

105 El Camino Real
San Bruno, CA 94066-5426

Phone

(650) 866-3084

Fax

(650) 866-3081

NPI assigned

Apr 9, 2018

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Maria Corazon Roque David-Arrobio, DMDNPI 1487866851

Title

Dentist and Owner

Phone

(650) 866-3084

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Maria Corazon Roque David-Arrobio, DDS

  • General Practice Dentistry
  • San Bruno, CA
  • NPI 1487866851
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1523232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1523232000000",
    "number": "1245737931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 EL CAMINO REAL",
            "city": "SAN BRUNO",
            "state": "CA",
            "postal_code": "940665426",
            "telephone_number": "650-866-3084",
            "fax_number": "650-866-3081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 EL CAMINO REAL",
            "city": "SAN BRUNO",
            "state": "CA",
            "postal_code": "940665426",
            "telephone_number": "650-866-3084",
            "fax_number": "650-866-3081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY DENTISTRY SAN BRUNO, INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-09",
        "last_updated": "2018-04-09",
        "status": "A",
        "authorized_official_last_name": "DAVID-ARROBIO",
        "authorized_official_first_name": "MARIA CORAZON",
        "authorized_official_middle_name": "ROQUE",
        "authorized_official_title_or_position": "DENTIST AND OWNER",
        "authorized_official_telephone_number": "650-866-3084",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "44859",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexxus Jamie Faalogoifo
• April Pasco Fajardo, PT, DPT
• Sayuri Falconer
• Family Affair Care Home,Inc.
• Family Affair Care Home,Inc.
• Zexin Fan
• Joyce Fancher, NP
• Candy-Yuet Fang
• Wendy Crocus Fang
• Marco Fatica

• Dental Clinic/Center in San Bruno, CA
• Providers in San Bruno, CA by specialty
• Dental Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.