Glara Soo Yi in Greenbrae - General Practice

Glara Soo Yi - NPI 1619168192

Glara Soo Yi is a General Practice in Greenbrae, California. Glara Soo Yi practices all healthcare services and medical treatments related to General Practice. The NPI Number for Glara Soo Yi is 1619168192. The last update date is 2007-08-08.

Glara Soo Yi's current location address is 1331 S Eliseo Dr, Greenbrae, California. You can contact this provider via phone number 4154611337 and fax number 4154616314. The mailing address for Glara Soo Yi is 1331 S Eliseo Dr, Greenbrae, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Glara Soo Yi
Address 1331 S Eliseo Dr, Greenbrae, California
Phone Number 4154611337
Fax Number 4154616314
Sole Proprietor Y
Credentials DDS

NPI Number Detail

NPI Number 1619168192
Provider Enumeration Date 2007-08-08
Last Updated Date 2007-08-08

Provider Mailing Address Detail

Address 1331 S Eliseo Dr
City Greenbrae
State California (CA)
Post Code 949042010
Phone Number 4154611337
Fax Number 4154616314

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No 46716
Definition:
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.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
46716 CA DDS LICENSE

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FAQs about Glara Soo Yi

What is the unique 10-digit identification code assigned to Glara Soo Yi by the Centers for Medicare & Medicaid Services?

The Glara Soo Yi has been issued the NPI (National Provider Identifier) 1619168192, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete physical location address of Glara Soo Yi?

The Glara Soo Yi is physically situated at 1331 S Eliseo Dr, in the city of Greenbrae, state of CA, with the postal code 949042010.

What is Glara Soo Yi's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Glara Soo Yi is General Practice, and the taxonomy classification code that categorizes this area of expertise is 1223G0001X.

When did Glara Soo Yi receive its 1619168192 assignment?

The Glara Soo Yi was assigned its 1619168192 on 2007-08-08, which is the date when this unique identifier was issued to the organization.

As of what date were the details pertaining to Glara Soo Yi last refreshed?

The information related to the Glara Soo Yi, including its address, specialty, and other relevant details, was last updated on 2007-08-08.

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