| Signature Dental Practice | |
|
2505 S Bascom Ave Campbell CA 95008-4302 | |
| (408) 377-8910 | |
| (408) 377-8913 |
| Full Name | Signature Dental Practice |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 2505 S Bascom Ave, Campbell, California |
| Authorized Official Name and Position | Peter A. Moosman (OWNER/DENTIST) |
| Authorized Official Contact | 4083778910 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Signature Dental Practice 2505 S Bascom Ave Campbell CA 95008-4302 Ph: (408) 377-8910 | Signature Dental Practice 2505 S Bascom Ave Campbell CA 95008-4302 Ph: (408) 377-8910 |
| NPI Number | 1245497601 |
|---|---|
| Provider Enumeration Date | 05/21/2008 |
| Last Update Date | 05/21/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245497601 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 42187 (California) | Primary |
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