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126 W Calaveras Blvd Milpitas CA 95035-5202 | |
| (408) 263-7690 | |
| (408) 263-7601 |
| Full Name | |
|---|---|
| Speciality | Dentist |
| Location | 126 W Calaveras Blvd, Milpitas, California |
| Authorized Official Name and Position | Josephine Serrano Ramos (PRESIDENT) |
| Authorized Official Contact | 4082637690 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
126 W Calaveras Blvd Milpitas CA 95035-5202 Ph: (408) 263-7690 | 126 W Calaveras Blvd Milpitas CA 95035-5202 Ph: (408) 263-7690 |
| NPI Number | 1295972388 |
|---|---|
| Provider Enumeration Date | 01/12/2009 |
| Last Update Date | 01/12/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295972388 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 49645 (California) | Primary |
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