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MARIVIC C AGONCILLO DDS INC
NPI 1114805413
Clinic/Center - Dental in Daly City, CA

Active since August 25, 2025
343 GELLERT BLVD STE G, DALY CITY, CA 94015(650) 731-0625(650) 997-3542 Get Directions Write a Review

NPPES record last updated: August 25, 2025. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Marivic C Agoncillo Dds Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARIVIC C AGONCILLO DDS INC (NPI 1114805413) is a healthcare organization registered as a dental in Daly City, California and active in the NPI registry since August 2025. The organization lists Marivic C Agoncillo, Owner / Dentist, as its authorized official.

NPPES Registry Identity

NPI1114805413
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameMARIVIC C AGONCILLO DDS INC
Location Address343 GELLERT BLVD STE GDaly City, CA 94015-2620
Mailing Address343 Gellert Blvd Ste GDaly City, CA 94015-2620 · (650) 731-0625 · Fax (650) 997-3542
Phone(650) 731-0625
Fax(650) 997-3542
Organization SubpartNo
Authorized OfficialMarivic C AgoncilloOwner / Dentist · (650) 731-0625
Enumeration DateAugust 25, 2025
NPPES CertifiedAugust 25, 2025
✔ NPI 1114805413 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
343 GELLERT BLVD STE G, Daly City, CA 94015
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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. MARIVIC A AGONCILLO D.D.S
Dentist (General Practice)
343 GELLERT BLVD STE G
DALY CITY, CA 94015
San Mateo County (650) 731-0625

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Marivic C Agoncillo Dds Inc's NPI number?

The NPI number for Marivic C Agoncillo Dds Inc is 1114805413. It was assigned to this organization in the NPPES registry on August 25, 2025.

Where is Marivic C Agoncillo Dds Inc located?

Marivic C Agoncillo Dds Inc is located at 343 Gellert Blvd Ste G, Daly City, CA 94015. The listed phone number is (650) 731-0625.

What is Marivic C Agoncillo Dds Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for Marivic C Agoncillo Dds Inc was last updated on August 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.