| Blossom Hill Dental Clinic | |
|
5460 Dellwood Way Ste A San Jose CA 95118-2965 | |
| (408) 266-1117 | |
| Not Available |
| Full Name | Blossom Hill Dental Clinic |
|---|---|
| Speciality | Dentist |
| Location | 5460 Dellwood Way Ste A, San Jose, California |
| Authorized Official Name and Position | Yuri Undorf (OWNER) |
| Authorized Official Contact | 4157525605 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Blossom Hill Dental Clinic 5460 Dellwood Way Ste A San Jose CA 95118-2965 Ph: (408) 266-1117 | Blossom Hill Dental Clinic 5460 Dellwood Way Ste A San Jose CA 95118-2965 Ph: (408) 266-1117 |
| NPI Number | 1194991190 |
|---|---|
| Provider Enumeration Date | 04/30/2008 |
| Last Update Date | 04/30/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194991190 | NPI | - | NPPES |
| G9111501 | Other | CA | DENTI CAL NUMBER ISSUED FOR OFFICE #1 |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 40751 (California) | Primary |
Pries Dental Care Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4110 Moorpark Ave, Suite C, San Jose, CA 95117 Phone: 408-260-0200 Fax: 408-625-4725 | |
Kaz Uyesugi Dds Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 974 Willow St, San Jose, CA 95125 Phone: 408-279-4337 Fax: 408-279-4555 | |
Western Dental Services, Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 451 Blossom Hill Rd Suite 20, San Jose, CA 95123 Phone: 408-337-3622 Fax: 408-337-3663 | |
Brindha Subramanian, Bds Ms Dental Corporation Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 991 Saratoga Ave, Ste 220, San Jose, CA 95129 Phone: 408-692-5437 Fax: 408-498-7737 | |
Neeshat Sohail Khan Dds Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 20445 Prospect Rd, Ste 6, San Jose, CA 95129 Phone: 408-777-1290 | |
Aishwarya Kumar Dds Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1087 Meridian Ave Ste 30, San Jose, CA 95125 Phone: 520-254-3181 | |
Eugenia Kutsenko Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3535 Ross Ave, #304, San Jose, CA 95124 Phone: 408-265-4064 Fax: 408-265-9876 |