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COUNTY OF SANTA CLARA

Organization (NPI-2) Active

Dentist

Provider Information

NPI Number
1134044720
Provider Type
Organization / Facility (NPI-2)
Status
Active

Contact & Location

Address
751 S BASCOM AVE, SAN JOSE, CA, 951282604
Phone
(408) 885-5000

Specialties & Taxonomies

Dentist Primary
Dentist, Pediatric Dentistry
Dentist, Oral and Maxillofacial Surgery

All Addresses

MAILING

PO BOX 103331

PASADENA, CA, 911893331

(408) 885-5000

LOCATION

751 S BASCOM AVE

SAN JOSE, CA, 951282604

(408) 885-5000