Amer Safadid.m.d,inc | |
6940 Santa Teresa Blvd Suite#4 San Jose CA 95119-1345 | |
(408) 972-2811 | |
(408) 972-2836 |
Full Name | Amer Safadid.m.d,inc |
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Speciality | Clinic/center - Dental |
Location | 6940 Santa Teresa Blvd, San Jose, California |
Authorized Official Name and Position | Amer Safadi (PRESIDENT) |
Authorized Official Contact | 4089722811 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Amer Safadid.m.d,inc 6940 Santa Teresa Blvd Suite#4 San Jose CA 95119-1345 Ph: (408) 972-2811 | Amer Safadid.m.d,inc 6940 Santa Teresa Blvd Suite#4 San Jose CA 95119-1345 Ph: (408) 972-2811 |
NPI Number | 1184741928 |
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Provider Enumeration Date | 03/26/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1184741928 | NPI | - | NPPES |
B33363-01 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | 33363 (California) | Primary |
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