| |
858 North Hillview Drive Milpitas CA 95035 | |
(408) 262-2282 | |
(408) 262-0333 |
Full Name | |
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Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
Location | 858 North Hillview Drive, Milpitas, California |
Authorized Official Name and Position | David T Shen (CHIEF FINANCIAL OFFICER) |
Authorized Official Contact | 6505894563 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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883 Sbeath Lane #130 San Bruno CA 94066 Ph: (650) 589-4563 | 858 North Hillview Drive Milpitas CA 95035 Ph: (408) 262-2282 |
NPI Number | 1235283730 |
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Provider Enumeration Date | 01/22/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
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1235283730 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (California) | Primary |
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