| Jacklin Dental Office | |
|
282 S Main St Milpitas CA 95035-5315 | |
| (408) 946-4815 | |
| (408) 946-3249 |
| Full Name | Jacklin Dental Office |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 282 S Main St, Milpitas, California |
| Authorized Official Name and Position | Milagros Lingat Taberna (PRESIDENT) |
| Authorized Official Contact | 4089464815 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jacklin Dental Office 282 S. Main St. Milpitas CA 95035-5315 Ph: (408) 946-4815 | Jacklin Dental Office 282 S Main St Milpitas CA 95035-5315 Ph: (408) 946-4815 |
| NPI Number | 1891979191 |
|---|---|
| Provider Enumeration Date | 12/21/2007 |
| Last Update Date | 12/21/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891979191 | NPI | - | NPPES |
| 42500 | Other | CA | DENTAL BOARD LICENSE # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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