| Reozel Realon Buquing, Dds, Inc. | |
|
150 N Jackson Ave Suite 108 San Jose CA 95116-1908 | |
| (408) 259-7100 | |
| (408) 259-0513 |
| Full Name | Reozel Realon Buquing, Dds, Inc. |
|---|---|
| Speciality | Dentist |
| Location | 150 N Jackson Ave, San Jose, California |
| Authorized Official Name and Position | Reozel Realon Buquing (PRESIDENT) |
| Authorized Official Contact | 4088767728 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Reozel Realon Buquing, Dds, Inc. 150 N Jackson Ave Suite 108 San Jose CA 95116-1908 Ph: (408) 259-7100 | Reozel Realon Buquing, Dds, Inc. 150 N Jackson Ave Suite 108 San Jose CA 95116-1908 Ph: (408) 259-7100 |
| NPI Number | 1679006209 |
|---|---|
| Provider Enumeration Date | 04/11/2017 |
| Last Update Date | 04/11/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679006209 | NPI | - | NPPES |
| 1821285545 | Other | CA | DENTICAL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 56235 (California) | Primary |
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