Alice Kamo Shoemaker, DDS in La Selva Beach, CA - Dentist

Alice Kamo Shoemaker, DDS is a Dentist based in La Selva Beach, California. Alice Kamo Shoemaker is licensed to practice in California (license number 32764) and her current practice location is 167 El Pinar, La Selva Beach, California. She can be reached at her office (for appointments etc.) via phone at (831) 684-1417.

NPI number for Alice Kamo Shoemaker is 1386822302 and her current mailing address is 167 El Pinar, La Selva Beach, California. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1386822302.

Contact Information

	Alice Kamo Shoemaker, DDS
	167 El Pinar, La Selva Beach, CA 95076-1509
	(831) 684-1417
	Not Available

Healthcare Provider's Profile

Full Name	Alice Kamo Shoemaker
Gender	Female
Speciality	Dentist
Location	167 El Pinar, La Selva Beach, California
Accepts Medicare Assignments	Does not participate in Medicare Program. She may not accept medicare assignment.

NPI Data:

NPI Number: 1386822302
Provider Enumeration Date: 01/31/2008
Last Update Date: 01/31/2008

Medical Identifiers

Medical identifiers for Alice Kamo Shoemaker such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1386822302	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
122300000X	Dentist	32764 (California)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Alice Kamo Shoemaker is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Alice Kamo Shoemaker, DDS 167 El Pinar, La Selva Beach, CA 95076-1509 Ph: (831) 684-1417	Alice Kamo Shoemaker, DDS 167 El Pinar, La Selva Beach, CA 95076-1509 Ph: (831) 684-1417

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Alice Kamo Shoemaker, DDS - Dentist in La Selva Beach, CA