| Edward L. Vines Dds Inc A Dental Corporation | |
|
7880 Wren Ave Suite B-121 Gilroy CA 95020-4943 | |
| (408) 842-3436 | |
| Not Available |
| Full Name | Edward L. Vines Dds Inc A Dental Corporation |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 7880 Wren Ave, Gilroy, California |
| Authorized Official Name and Position | Edward L. Vines (PRESIDENT) |
| Authorized Official Contact | 4088423436 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Edward L. Vines Dds Inc A Dental Corporation 7880 Wren Ave Suite B-121 Gilroy CA 95020-4943 Ph: (408) 842-3436 | Edward L. Vines Dds Inc A Dental Corporation 7880 Wren Ave Suite B-121 Gilroy CA 95020-4943 Ph: (408) 842-3436 |
| NPI Number | 1164696803 |
|---|---|
| Provider Enumeration Date | 04/14/2008 |
| Last Update Date | 04/14/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164696803 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 26556 (California) | Primary |
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