Agoncillo, Marivic A
Agoncillo, Marivic A is an individual health care provider with primary practice located at 343 Gellert Blvd Ste G , Daly City CA 94015-2620. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Agoncillo, Marivic A can be contacted via phone (650) 731-0625.Contact Information
Primary practice address
343 Gellert Blvd Ste G
Daly City CA 94015-2620
Phone: (650) 731-0625
Fax: (650) 997-3542
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 43304 | California |
Profile Details
| NPI number | 1366574311 |
|---|---|
| LBN Legal business name | Agoncillo, Marivic A |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 12th, 2007 |
| Last updated | Aug 11th, 2025 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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