| Uni Dental | |
|
175 S Capitol Ave Suite E San Jose CA 95127-2845 | |
| (408) 923-3073 | |
| (408) 923-3075 |
| Full Name | Uni Dental |
|---|---|
| Speciality | Dentist |
| Location | 175 S Capitol Ave, San Jose, California |
| Authorized Official Name and Position | Quyen Thuc Duong (PRESIDENT) |
| Authorized Official Contact | 4089233073 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Uni Dental 175 S Capitol Ave Suite E San Jose CA 95127-2845 Ph: (408) 923-3073 | Uni Dental 175 S Capitol Ave Suite E San Jose CA 95127-2845 Ph: (408) 923-3073 |
| NPI Number | 1568687721 |
|---|---|
| Provider Enumeration Date | 04/14/2007 |
| Last Update Date | 05/28/2020 |
| Medicare PECOS PAC ID | 0345661302 |
|---|---|
| Medicare Enrollment ID | O20200528002739 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568687721 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 42146 (California) | Primary |
| Provider Name | Derek D Duong |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1922127703 PECOS PAC ID: 4486914371 Enrollment ID: I20180423002911 |
| Provider Name | Quyen Thuc Duong |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1699948398 PECOS PAC ID: 6103117056 Enrollment ID: I20200528002787 |
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