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18181 Butterfield Blvd Ste 110 Morgan Hill CA 95037-8118 | |
| (408) 821-5418 | |
| Not Available |
| Full Name | |
|---|---|
| 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 |
|---|---|
1395 1st St Ste 102 Gilroy CA 95020-3876 Ph: (408) 821-5418 | 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 |
Monpreet Chattha, Dds, Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 17705 Hale Ave Ste C3, Morgan Hill, CA 95037 Phone: 408-778-3135 | |
Harsirat Gondara, Dds, Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 795 Cochrane Rd Ste 120, Morgan Hill, CA 95037 Phone: 510-789-6417 | |
Elaine L. Van, Dds Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 17020 Condit Rd, #180, Morgan Hill, CA 95037 Phone: 408-778-4548 Fax: 408-778-4648 | |
Dmitriy Pivnik Dds Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 18455 Technology Dr, Morgan Hill, CA 95037 Phone: 916-783-5239 | |