| The Health Trusr | |
|
2085 Hamilton Ave Suite 150 San Jose CA 95125-6117 | |
| (408) 559-9385 | |
| Not Available |
| Full Name | The Health Trusr |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 2085 Hamilton Ave, San Jose, California |
| Authorized Official Name and Position | Michael Tai (DENTAL CLINIC DIRECTOR) |
| Authorized Official Contact | 4088798423 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Health Trusr 2085 Hamilton Ave Suite 150 San Jose CA 95125-6117 Ph: (408) 559-9385 | The Health Trusr 2085 Hamilton Ave Suite 150 San Jose CA 95125-6117 Ph: (408) 559-9385 |
| NPI Number | 1518977008 |
|---|---|
| Provider Enumeration Date | 08/08/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518977008 | NPI | - | NPPES |
| G91493-02 | Other | CA | DENTI-CAL |
| G91493-01 | Other | CA | DENTI-CAL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 9149302 (California) | Primary |
| 1223P0221X | Dentist - Pediatric Dentistry | 9149301 (California) | Secondary |
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