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14375 Saratoga Ave Ste 100 Saratoga CA 95070-5978 | |
| (408) 867-3712 | |
| (408) 867-2653 |
| Full Name | |
|---|---|
| Speciality | Dentist |
| Location | 14375 Saratoga Ave Ste 100, Saratoga, California |
| Authorized Official Name and Position | Julie Herndon (PRESIDENT) |
| Authorized Official Contact | 4088673712 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
14375 Saratoga Ave Ste 100 Saratoga CA 95070-5978 Ph: (408) 867-3712 | 14375 Saratoga Ave Ste 100 Saratoga CA 95070-5978 Ph: (408) 867-3712 |
| NPI Number | 1881422863 |
|---|---|
| Provider Enumeration Date | 07/23/2024 |
| Last Update Date | 08/02/2024 |
| Medicare PECOS PAC ID | 1951834100 |
|---|---|
| Medicare Enrollment ID | O20241028001218 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881422863 | NPI | - | NPPES |
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