| Children's Dental Group | |
|
1153 S King Rd San Jose CA 95122-2144 | |
| (323) 564-2444 | |
| Not Available |
| Full Name | Children's Dental Group |
|---|---|
| Speciality | Dentist |
| Location | 1153 S King Rd, San Jose, California |
| Authorized Official Name and Position | Jerry David Minsky (OWNER) |
| Authorized Official Contact | 3235642444 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Children's Dental Group 4444 Tweedy Blvd South Gate CA 90280-6304 Ph: (323) 564-2444 | Children's Dental Group 1153 S King Rd San Jose CA 95122-2144 Ph: (323) 564-2444 |
| NPI Number | 1609041482 |
|---|---|
| Provider Enumeration Date | 04/23/2008 |
| Last Update Date | 09/23/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609041482 | NPI | - | NPPES |
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