| Jeremy K Ueno Dmd A Professional Corporation | |
|
2160 S Bascom Ave Ste 1 Campbell CA 95008-3297 | |
| (408) 371-7616 | |
| (408) 371-7615 |
| Full Name | Jeremy K Ueno Dmd A Professional Corporation |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 2160 S Bascom Ave Ste 1, Campbell, California |
| Authorized Official Name and Position | Jeremy K Ueno (OWNER/CEO) |
| Authorized Official Contact | 4084022159 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jeremy K Ueno Dmd A Professional Corporation 2160 S Bascom Ave Ste 1 Campbell CA 95008-3297 Ph: (408) 371-7616 | Jeremy K Ueno Dmd A Professional Corporation 2160 S Bascom Ave Ste 1 Campbell CA 95008-3297 Ph: (408) 371-7616 |
| NPI Number | 1629682901 |
|---|---|
| Provider Enumeration Date | 09/03/2020 |
| Last Update Date | 09/04/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629682901 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Secondary |
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
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