Individual provider · NPI-1

Dr. Mary Yvette Tan Antonio, DDS

Dentist, General Practice · Mountain View, CA

NPI number1427040252
StatusActive
Last updated in NPPESJul 13, 2026

Details

NPI
1427040252
Entity type
Individual (NPI-1)
Name
Dr. Mary Yvette Tan Antonio
Credential
DDS
Sex
Female
Sole proprietor
No
Enumeration date
Aug 18, 2005
Last updated
Jul 13, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223G0001X Dentist, General Practice49053CAYes

Other names

  • Yvette Tan Antonio (Other Name)

Practice location

327 Moffett Blvd
Mountain View, CA 94043-4757

Phone 650-961-5424 · Fax 650-961-5466

Mailing address

327c Moffett Blvd
Mountain View, CA 94043-4725

Phone 650-961-5424 · Fax 650-961-5466

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