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1350 S Park Victoria Dr Ste 41 Milpitas CA 95035-6941 | |
| (408) 946-3296 | |
| (408) 946-3295 |
| Full Name | |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1350 S Park Victoria Dr Ste 41, Milpitas, California |
| Authorized Official Name and Position | Ruth A Arciaga (CEO) |
| Authorized Official Contact | 4089419257 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
1350 S Park Victoria Dr Ste 41 Milpitas CA 95035-6941 Ph: (408) 946-3296 | 1350 S Park Victoria Dr Ste 41 Milpitas CA 95035-6941 Ph: (408) 946-3296 |
| NPI Number | 1023257458 |
|---|---|
| Provider Enumeration Date | 02/09/2009 |
| Last Update Date | 02/09/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023257458 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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