Jensen C Sun Dds Inc | |
1300 Meridian Ave San Jose CA 95125-5211 | |
(408) 264-9203 | |
(408) 264-4676 |
Full Name | Jensen C Sun Dds Inc |
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Speciality | Dentist |
Location | 1300 Meridian Ave, San Jose, California |
Authorized Official Name and Position | Jensen C Sun (OWNER) |
Authorized Official Contact | 4082649203 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Jensen C Sun Dds Inc 1300 Meridian Ave San Jose CA 95125-5211 Ph: (408) 264-9203 | Jensen C Sun Dds Inc 1300 Meridian Ave San Jose CA 95125-5211 Ph: (408) 264-9203 |
NPI Number | 1073981262 |
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Provider Enumeration Date | 09/04/2015 |
Last Update Date | 09/04/2015 |
Identifier | Type | State | Issuer |
---|---|---|---|
1073981262 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 31868 (California) | Primary |
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