| Shen Dds Dental Corp. | |
|
20410 Town Center Ln Suite 190 Cupertino CA 95014-3229 | |
| (408) 713-0730 | |
| Not Available |
| Full Name | Shen Dds Dental Corp. |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 20410 Town Center Ln, Cupertino, California |
| Authorized Official Name and Position | John Shen (PRESIDENT) |
| Authorized Official Contact | 5109183284 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shen Dds Dental Corp. 20410 Town Center Ln Suite 190 Cupertino CA 95014-3229 Ph: (408) 713-0730 | Shen Dds Dental Corp. 20410 Town Center Ln Suite 190 Cupertino CA 95014-3229 Ph: (408) 713-0730 |
| NPI Number | 1932537487 |
|---|---|
| Provider Enumeration Date | 10/20/2013 |
| Last Update Date | 10/24/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932537487 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 59472 (California) | Primary |
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