| Vijaya S Kiran Dds Inc | |
|
1721 Story Rd San Jose CA 95122-1922 | |
| (408) 929-9977 | |
| (408) 929-7999 |
| Full Name | Vijaya S Kiran Dds Inc |
|---|---|
| Speciality | Dentist |
| Location | 1721 Story Rd, San Jose, California |
| Authorized Official Name and Position | Vijaya S Kiran (PRESIDENT) |
| Authorized Official Contact | 4084063842 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Vijaya S Kiran Dds Inc 2958 Archwood Cir San Jose CA 95148-2614 Ph: (408) 406-3842 | Vijaya S Kiran Dds Inc 1721 Story Rd San Jose CA 95122-1922 Ph: (408) 929-9977 |
| NPI Number | 1770278442 |
|---|---|
| Provider Enumeration Date | 04/10/2023 |
| Last Update Date | 04/10/2023 |
| Medicare PECOS PAC ID | 8123487444 |
|---|---|
| Medicare Enrollment ID | O20230705002633 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770278442 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
| Provider Name | Vijaya Shashi Kiran |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1578621470 PECOS PAC ID: 0941669261 Enrollment ID: I20230705002783 |
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