| Maxillofacial Surgery Center Of San Jose | |
|
2039 Forest Avenue Suite #306 San Jose CA 95128 | |
| (408) 298-7775 | |
| (408) 298-0936 |
| Full Name | Maxillofacial Surgery Center Of San Jose |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 2039 Forest Avenue, San Jose, California |
| Authorized Official Name and Position | Chien Yvan Cheng (OWNER/PARTNER) |
| Authorized Official Contact | 4082987775 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Maxillofacial Surgery Center Of San Jose 2039 Forest Avenue Suite #306 San Jose CA 95128 Ph: (408) 298-7775 | Maxillofacial Surgery Center Of San Jose 2039 Forest Avenue Suite #306 San Jose CA 95128 Ph: (408) 298-7775 |
| NPI Number | 1174530026 |
|---|---|
| Provider Enumeration Date | 08/02/2006 |
| Last Update Date | 04/04/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174530026 | NPI | - | NPPES |
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