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53 Marylinn Drive Milpitas CA 95035-4311 | |
| (408) 934-0391 | |
| (408) 934-0398 |
| Full Name | |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 53 Marylinn Drive, Milpitas, California |
| Authorized Official Name and Position | Maryjane L Fuster (DENTIST/OWNER) |
| Authorized Official Contact | 4089340391 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
53 Marylinn Dr Milpitas CA 95035-4311 Ph: (408) 934-0391 | 53 Marylinn Drive Milpitas CA 95035-4311 Ph: (408) 934-0391 |
| NPI Number | 1700110384 |
|---|---|
| Provider Enumeration Date | 09/29/2009 |
| Last Update Date | 09/29/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700110384 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 43786 (California) | Primary |
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