Provider Demographics
NPI:1205215795
Name:SONRISAS DENTAL HEALTH, INC.
Entity Type:Organization
Organization Name:SONRISAS DENTAL HEALTH, INC.
Other - Org Name:APPLE TREE DENTAL, SAN MATEO CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO/DENTAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:BONNIE
Authorized Official - Middle Name:L
Authorized Official - Last Name:JUE
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:650-727-3480
Mailing Address - Street 1:430 NO. EL CAMINO REAL
Mailing Address - Street 2:
Mailing Address - City:SAN MATEO
Mailing Address - State:CA
Mailing Address - Zip Code:94401-3710
Mailing Address - Country:US
Mailing Address - Phone:650-727-3480
Mailing Address - Fax:650-727-3519
Practice Address - Street 1:430 NO. EL CAMINO REAL
Practice Address - Street 2:
Practice Address - City:SAN MATEO
Practice Address - State:CA
Practice Address - Zip Code:94401-3710
Practice Address - Country:US
Practice Address - Phone:650-727-3480
Practice Address - Fax:650-727-3519
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:APPLE TREE DENTAL CALIFORNIA, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2015-05-29
Last Update Date:2018-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty