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414 S Main St Milpitas CA 95035-5319 | |
| (408) 934-0693 | |
| (408) 934-1055 |
| Full Name | |
|---|---|
| Speciality | Dentist |
| Location | 414 S Main St, Milpitas, California |
| Authorized Official Name and Position | Puneet Sandhu (CEO) |
| Authorized Official Contact | 5108250445 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
414 S Main St Milpitas CA 95035-5319 Ph: (408) 934-0693 | 414 S Main St Milpitas CA 95035-5319 Ph: (408) 934-0693 |
| NPI Number | 1538167671 |
|---|---|
| Provider Enumeration Date | 07/12/2005 |
| Last Update Date | 05/24/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538167671 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 53104 (California) | Primary |
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