1692 TULLY DENTISTRY
Organization (NPI-2)
Active
Dentist
Provider Information
- NPI Number
1649406133- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 2114 SENIOR ROAD SUITE 25, SAN JOSE, CA, 95112
- Phone
- (408) 279-2114
- Fax
- (408) 279-1828
Specialties & Taxonomies
Dentist
Primary License: CA #44749