| |
1418 Dempsey Rd Milpitas CA 95035-6977 | |
(408) 263-6646 | |
Not Available |
Full Name | |
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Speciality | Dentist |
Location | 1418 Dempsey Rd, Milpitas, California |
Authorized Official Name and Position | Thuy-mai Nguyen (PRESIDENT) |
Authorized Official Contact | 4082636646 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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1418 Dempsey Rd Milpitas CA 95035-6977 Ph: (408) 263-6646 | 1418 Dempsey Rd Milpitas CA 95035-6977 Ph: (408) 263-6646 |
NPI Number | 1356469639 |
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Provider Enumeration Date | 03/26/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1356469639 | NPI | - | NPPES |
36809 | Other | CA | CA DENTAL BOARD LICENSE |
G98165-01 | Other | CA | CA DELTA HEALTHY FAMILY |
B36809-01 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | (* (Not Available)) | Primary |
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