Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Marivic C Agoncillo DDS Inc

Organization Dental Clinic/Center · NPI 1114805413

Marivic C Agoncillo DDS Inc is a Dental Clinic/Center in Daly City, California. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

343 Gellert Blvd Ste G
Daly City, CA 94015-2620
Phone: (650) 731-0625
Fax: (650) 997-3542
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dental Clinic/Center (primary) Taxonomy 261QD0000X

Record details

NPI number1114805413
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Marivic Agoncillo — Owner / Dentist · (650) 731-0625
NPI enumeratedAugust 25, 2025
Last updated in NPPESAugust 25, 2025
Certification dateAugust 25, 2025
Mailing address343 Gellert Blvd Ste G, Daly City, CA 94015-2620

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