| Inspira Advanced Dentistry | |
|
891 S Bascom Ave San Jose CA 95128-2627 | |
| (408) 298-0777 | |
| (408) 298-3143 |
| Full Name | Inspira Advanced Dentistry |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 891 S Bascom Ave, San Jose, California |
| Authorized Official Name and Position | Stephanie B Loller (OWNER) |
| Authorized Official Contact | 4082980777 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Inspira Advanced Dentistry 891 S Bascom Ave San Jose CA 95128-2627 Ph: (408) 298-0777 | Inspira Advanced Dentistry 891 S Bascom Ave San Jose CA 95128-2627 Ph: (408) 298-0777 |
| NPI Number | 1437697968 |
|---|---|
| Provider Enumeration Date | 02/03/2017 |
| Last Update Date | 02/03/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437697968 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 44610 (California) | Primary |
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