Provider Demographics
NPI:1144099607
Name:T3 DENTAL SOLUTIONS
Entity type:Organization
Organization Name:T3 DENTAL SOLUTIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:JOJOAQUIN
Authorized Official - Middle Name:
Authorized Official - Last Name:TE
Authorized Official - Suffix:III
Authorized Official - Credentials:OFFICE MANAGER
Authorized Official - Phone:510-634-2432
Mailing Address - Street 1:PO BOX 197
Mailing Address - Street 2:
Mailing Address - City:MILLBRAE
Mailing Address - State:CA
Mailing Address - Zip Code:94030-0197
Mailing Address - Country:US
Mailing Address - Phone:510-634-2432
Mailing Address - Fax:
Practice Address - Street 1:6273 MISSION ST STE 200
Practice Address - Street 2:
Practice Address - City:DALY CITY
Practice Address - State:CA
Practice Address - Zip Code:94014-2045
Practice Address - Country:US
Practice Address - Phone:415-815-6525
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:JBTIII DENTAL STAFFING & DENTAL LAB
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2023-12-26
Last Update Date:2023-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental