Michael Scianamblo, DDS

NPI 1730245903 · on the registry since 2006 · sole proprietor

Practice

Address: 1526 5th Ave
San Rafael, CA 94901
Phone: (415) 457-3002
Fax: (415) 457-0591
Organisation at this address: Toso Optical Co
Darron R Rishwain Dds Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 7

Registry record

Primary taxonomy: 1223E0200X
1223E0200X
Licence states on file: CA
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California