La Rosa Dental Care | |
1870 Alum Rock Ave # B San Jose CA 95116-1303 | |
(408) 272-0919 | |
(408) 729-8704 |
Full Name | La Rosa Dental Care |
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Speciality | Dentist |
Location | 1870 Alum Rock Ave # B, San Jose, California |
Authorized Official Name and Position | Doan Duy Vu (OWNER) |
Authorized Official Contact | 4082720919 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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La Rosa Dental Care 1870 Alum Rock Ave # B San Jose CA 95116-1303 Ph: (408) 272-0919 | La Rosa Dental Care 1870 Alum Rock Ave # B San Jose CA 95116-1303 Ph: (408) 272-0919 |
NPI Number | 1831228790 |
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Provider Enumeration Date | 03/05/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1831228790 | NPI | - | NPPES |
50013 | Other | CA | CA DENTAL LICENSE NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 50013 (California) | Primary |
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