| Lifetime Dental Care | |
|
1062 S De Anza Blvd Ste C103 San Jose CA 95129-3556 | |
| (408) 255-9666 | |
| (408) 255-4524 |
| Full Name | Lifetime Dental Care |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1062 S De Anza Blvd Ste C103, San Jose, California |
| Authorized Official Name and Position | Wendy C Lu (PRESIDENT) |
| Authorized Official Contact | 4082559666 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lifetime Dental Care 1062 S De Anza Blvd Ste C103 San Jose CA 95129-3556 Ph: (408) 255-9666 | Lifetime Dental Care 1062 S De Anza Blvd Ste C103 San Jose CA 95129-3556 Ph: (408) 255-9666 |
| NPI Number | 1740201896 |
|---|---|
| Provider Enumeration Date | 07/22/2006 |
| Last Update Date | 02/25/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740201896 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 42062 (California) | Primary |
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