| Abriol Dental Corp. | |
|
3068 Story Rd San Jose CA 95127-3934 | |
| (408) 259-0458 | |
| (408) 729-0559 |
| Full Name | Abriol Dental Corp. |
|---|---|
| Speciality | Dentist |
| Location | 3068 Story Rd, San Jose, California |
| Authorized Official Name and Position | Nicasio Macaraeg Abriol (OWNER) |
| Authorized Official Contact | 4082590458 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Abriol Dental Corp. 3068 Story Rd San Jose CA 95127-3934 Ph: (408) 259-0458 | Abriol Dental Corp. 3068 Story Rd San Jose CA 95127-3934 Ph: (408) 259-0458 |
| NPI Number | 1821287814 |
|---|---|
| Provider Enumeration Date | 10/16/2007 |
| Last Update Date | 10/16/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821287814 | NPI | - | NPPES |
| D43301 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | B43301 (California) | Primary |
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