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412 S Main St Milpitas CA 95035-5319 | |
| (408) 809-9500 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 412 S Main St, Milpitas, California |
| Authorized Official Name and Position | Roop Phagura (SECRETARY) |
| Authorized Official Contact | 5103233704 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
412 S Main St Milpitas CA 95035-5319 Ph: (408) 809-9500 | 412 S Main St Milpitas CA 95035-5319 Ph: (408) 809-9500 |
| NPI Number | 1265037444 |
|---|---|
| Provider Enumeration Date | 12/03/2020 |
| Last Update Date | 05/12/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265037444 | NPI | - | NPPES |
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