| De Anza Dental Center Inc. | |
|
1035 S De Anza Blvd. Suite #4 San Jose CA 95129 | |
| (408) 252-4850 | |
| (408) 252-4339 |
| Full Name | De Anza Dental Center Inc. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1035 S De Anza Blvd., San Jose, California |
| Authorized Official Name and Position | Po-jen Lin (OWNER) |
| Authorized Official Contact | 4082524850 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| De Anza Dental Center Inc. 1035 S De Anza Blvd Suite #4 San Jose CA 95129-2772 Ph: (408) 252-4850 | De Anza Dental Center Inc. 1035 S De Anza Blvd. Suite #4 San Jose CA 95129 Ph: (408) 252-4850 |
| NPI Number | 1215153861 |
|---|---|
| Provider Enumeration Date | 04/18/2007 |
| Last Update Date | 05/01/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215153861 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 38556 (California) | Primary |
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