| Bonaventura Dental Care | |
|
2680 N 1st St Suite # 100 San Jose CA 95134-2025 | |
| (408) 943-9443 | |
| (408) 943-8929 |
| Full Name | Bonaventura Dental Care |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2680 N 1st St, San Jose, California |
| Authorized Official Name and Position | David A Refaee (PROVIDER) |
| Authorized Official Contact | 4089439443 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bonaventura Dental Care 2680 N 1st St Suite # 100 San Jose CA 95134-2025 Ph: (408) 943-9443 | Bonaventura Dental Care 2680 N 1st St Suite # 100 San Jose CA 95134-2025 Ph: (408) 943-9443 |
| NPI Number | 1548388705 |
|---|---|
| Provider Enumeration Date | 03/27/2007 |
| Last Update Date | 07/17/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548388705 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 44769 (California) | Primary |
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