| Jennifer Moran, Dds, Inc. | |
|
5710 Cahalan Ave Ste 8l San Jose CA 95123-3060 | |
| (408) 578-4600 | |
| (408) 578-4638 |
| Full Name | Jennifer Moran, Dds, Inc. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 5710 Cahalan Ave Ste 8l, San Jose, California |
| Authorized Official Name and Position | Jennifer Moran (PRESIDENT) |
| Authorized Official Contact | 4085784600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer Moran, Dds, Inc. 5710 Cahalan Ave Ste 8l San Jose CA 95123-3060 Ph: (408) 578-4600 | Jennifer Moran, Dds, Inc. 5710 Cahalan Ave Ste 8l San Jose CA 95123-3060 Ph: (408) 578-4600 |
| NPI Number | 1932596152 |
|---|---|
| Provider Enumeration Date | 04/26/2015 |
| Last Update Date | 04/26/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932596152 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | CA57351 (California) | Primary |
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