| Gilroy Family Dental | |
|
18181 Butterfield Blvd Ste 110 Morgan Hill CA 95037-8118 | |
| (408) 821-5418 | |
| Not Available |
| Full Name | Gilroy Family Dental |
|---|---|
| Speciality | Dentist |
| Location | 18181 Butterfield Blvd Ste 110, Morgan Hill, California |
| Authorized Official Name and Position | Kusum Atraya (PRESIDENT AND CEO) |
| Authorized Official Contact | 4088215418 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gilroy Family Dental 1395 1st St Ste 102 Gilroy CA 95020-3876 Ph: (408) 821-5418 | Gilroy Family Dental 18181 Butterfield Blvd Ste 110 Morgan Hill CA 95037-8118 Ph: (408) 821-5418 |
| NPI Number | 1770072829 |
|---|---|
| Provider Enumeration Date | 05/04/2018 |
| Last Update Date | 05/04/2018 |
| Medicare PECOS PAC ID | 4082952007 |
|---|---|
| Medicare Enrollment ID | O20190215001673 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770072829 | NPI | - | NPPES |
| 1831279033 | Other | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 47037 (California) | Primary |
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