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MIKOYAN LAGRIMAS DDS
NPI 1275811432
Dentist - General Practice in San Rafael, CA

Active since July 21, 2011
3110 KERNER BLVD, SAN RAFAEL, CA 94901(415) 448-1500 Get Directions Write a Review

NPPES record last updated: April 2, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mikoyan Lagrimas Dds NPPES

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

MIKOYAN LAGRIMAS DDS (NPI 1275811432) is an individual general practice provider in San Rafael, California, licensed in California (61786) and active in the NPI registry since July 2011.

NPPES Registry Identity

NPI1275811432
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameMIKOYAN LAGRIMASCredential: DDS
Location Address3110 KERNER BLVDSan Rafael, CA 94901-5411
Mailing Address3801 Miranda AvePalo Alto, CA 94304-1207
Phone(415) 448-1500
Sole ProprietorNo
Enumeration DateJuly 21, 2011
Last NPPES UpdateApril 2, 2026
NPPES CertifiedApril 2, 2026
✔ NPI 1275811432 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in CA · 61786
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
3110 KERNER BLVD, San Rafael, CA 94901
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Other Providers at the Same Location NPPES 20

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

EUNKYO CHO DDS
Dentist (General Practice)
3110 KERNER BLVD
SAN RAFAEL, CA 94901
Marin County (415) 448-1500
EMMELINE LUI RDH
Dental Hygienist
3110 KERNER BLVD
SAN RAFAEL, CA 94901
Marin County (415) 448-1500
ALEXANDER DE JESUS CHAVARRIA
Social Worker (Clinical)
3110 KERNER BLVD
SAN RAFAEL, CA 94901
Marin County (415) 448-1500
DR. MARISSA WANG DMD
Dentist (General Practice)
3110 KERNER BLVD
SAN RAFAEL, CA 94901
Marin County (626) 297-0068
JOANNA GOBEA FNP
Nurse Practitioner (Family)
3110 KERNER BLVD
SAN RAFAEL, CA 94901
Marin County (415) 755-2507
DR. PETER JOHN SIMON M.D.
Pediatrics
3110 KERNER BLVD
SAN RAFAEL, CA 94901
Marin County (415) 448-1500
ABIGAIL PEREZ ACSW
Social Worker (Clinical)
3110 KERNER BLVD
SAN RAFAEL, CA 94901
Marin County (415) 448-1500
MARIN COMMUNITY CLINIC
Clinic/Center (Federally Qualified Health Center (FQHC))
3110 KERNER BLVD
SAN RAFAEL, CA 94901
Marin County (415) 526-8500

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 Mikoyan Lagrimas's NPI number?

The NPI number for Mikoyan Lagrimas is 1275811432. It was assigned to this individual provider in the NPPES registry on July 21, 2011.

Where is Mikoyan Lagrimas located?

Mikoyan Lagrimas practices at 3110 Kerner Blvd, San Rafael, CA 94901. The listed phone number is (415) 448-1500.

What is Mikoyan Lagrimas's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Mikoyan Lagrimas was last updated on April 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.