| California Dental Sleep Solutions, Jaclyn Martinez Dds, Inc. | |
|
827 Blossom Hill Rd Ste E7 San Jose CA 95123-2701 | |
| (408) 212-5252 | |
| Not Available |
| Full Name | California Dental Sleep Solutions, Jaclyn Martinez Dds, Inc. |
|---|---|
| Speciality | Durable Medical Equipment & Medical Supplies |
| Location | 827 Blossom Hill Rd Ste E7, San Jose, California |
| Authorized Official Name and Position | Jaclyn Colette Martinez (OWNER) |
| Authorized Official Contact | 4083070053 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| California Dental Sleep Solutions, Jaclyn Martinez Dds, Inc. 827 Blossom Hill Rd Ste E7 San Jose CA 95123-2701 Ph: (408) 212-5252 | California Dental Sleep Solutions, Jaclyn Martinez Dds, Inc. 827 Blossom Hill Rd Ste E7 San Jose CA 95123-2701 Ph: (408) 212-5252 |
| NPI Number | 1598398513 |
|---|---|
| Provider Enumeration Date | 02/18/2020 |
| Last Update Date | 09/09/2020 |
| Medicare PECOS PAC ID | 5193137396 |
|---|---|
| Medicare Enrollment ID | O20201211001656 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598398513 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Secondary |
| 332BC3200X | Durable Medical Equipment & Medical Supplies - Customized Equipment | (* (Not Available)) | Primary |
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