Provider Demographics
NPI:1588399604
Name:BELLUOMINI & WEST, DDS
Entity type:Organization
Organization Name:BELLUOMINI & WEST, DDS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:JULIE
Authorized Official - Middle Name:
Authorized Official - Last Name:STREHL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:650-756-0938
Mailing Address - Street 1:1500 SOUTHGATE AVE STE 210
Mailing Address - Street 2:
Mailing Address - City:DALY CITY
Mailing Address - State:CA
Mailing Address - Zip Code:94015-2231
Mailing Address - Country:US
Mailing Address - Phone:650-756-0938
Mailing Address - Fax:650-756-1915
Practice Address - Street 1:1500 SOUTHGATE AVE STE 210
Practice Address - Street 2:
Practice Address - City:DALY CITY
Practice Address - State:CA
Practice Address - Zip Code:94015-2231
Practice Address - Country:US
Practice Address - Phone:650-756-0938
Practice Address - Fax:650-756-1915
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-07-21
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0221XDental ProvidersDentistPediatric DentistryGroup - Single Specialty