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991 Montague Expressway Suite #211 Milpitas CA 95035 | |
| (408) 262-9999 | |
| (408) 262-9998 |
| Full Name | |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 991 Montague Expressway, Milpitas, California |
| Authorized Official Name and Position | Jose A. Celis (VICE-PRESIDNET/CO-OWNER) |
| Authorized Official Contact | 4082629999 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
991 Montague Expressway Suite #211 Milpitas CA 95035 Ph: (408) 262-9999 | 991 Montague Expressway Suite #211 Milpitas CA 95035 Ph: (408) 262-9999 |
| NPI Number | 1235453184 |
|---|---|
| Provider Enumeration Date | 03/22/2010 |
| Last Update Date | 03/22/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235453184 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 51903 (California) | Primary |
| 1223G0001X | Dentist - General Practice | 43430 (California) | Secondary |
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