| Raimundo And Marinela Halili, Dmd A Professional Corporation Inc. | |
|
2004 Tully Rd San Jose CA 95122-1845 | |
| (408) 274-5555 | |
| (408) 274-5453 |
| Full Name | Raimundo And Marinela Halili, Dmd A Professional Corporation Inc. |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 2004 Tully Rd, San Jose, California |
| Authorized Official Name and Position | Raimundo Halili (PRESIDENT) |
| Authorized Official Contact | 4082745555 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Raimundo And Marinela Halili, Dmd A Professional Corporation Inc. 2004 Tully Rd San Jose CA 95122-1845 Ph: (408) 274-5555 | Raimundo And Marinela Halili, Dmd A Professional Corporation Inc. 2004 Tully Rd San Jose CA 95122-1845 Ph: (408) 274-5555 |
| NPI Number | 1205667748 |
|---|---|
| Provider Enumeration Date | 08/07/2024 |
| Last Update Date | 08/07/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205667748 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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