Provider Demographics
NPI:1427373331
Name:MYINT SWE D.D.S., INC.
Entity Type:Organization
Organization Name:MYINT SWE D.D.S., INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MYINT
Authorized Official - Middle Name:NMN
Authorized Official - Last Name:SWE
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:650-430-9788
Mailing Address - Street 1:1133 EL CAMINO REAL
Mailing Address - Street 2:SUITE 3
Mailing Address - City:SOUTH SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94080-3295
Mailing Address - Country:US
Mailing Address - Phone:650-430-9788
Mailing Address - Fax:
Practice Address - Street 1:1133 EL CAMINO REAL
Practice Address - Street 2:SUITE 3
Practice Address - City:SOUTH SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94080-3295
Practice Address - Country:US
Practice Address - Phone:650-430-9788
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-04-02
Last Update Date:2010-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA520071223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty