| Family Dental Care | |
|
1175 E Julian St Ste 4 San Jose CA 95116-1091 | |
| (408) 993-8491 | |
| (408) 899-2070 |
| Full Name | Family Dental Care |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1175 E Julian St Ste 4, San Jose, California |
| Authorized Official Name and Position | Imelda P Nagtalon (OWNER) |
| Authorized Official Contact | 4089938491 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Dental Care 1175 E Julian St Ste 4 San Jose CA 95116-1091 Ph: (408) 993-8491 | Family Dental Care 1175 E Julian St Ste 4 San Jose CA 95116-1091 Ph: (408) 993-8491 |
| NPI Number | 1013437094 |
|---|---|
| Provider Enumeration Date | 06/21/2017 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013437094 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 49154 (California) | Primary |
| 1223G0001X | Dentist - General Practice | 34370 (California) | Secondary |
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