| Yi Xu Dental Office | |
|
4155 Moorpark Ave Ste 2 San Jose CA 95117-1714 | |
| (408) 296-2188 | |
| (408) 296-9688 |
| Full Name | Yi Xu Dental Office |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 4155 Moorpark Ave Ste 2, San Jose, California |
| Authorized Official Name and Position | Yi Xu (OWNER) |
| Authorized Official Contact | 4082962188 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Yi Xu Dental Office 4155 Moorpark Ave Ste 2 San Jose CA 95117-1714 Ph: (408) 296-2188 | Yi Xu Dental Office 4155 Moorpark Ave Ste 2 San Jose CA 95117-1714 Ph: (408) 296-2188 |
| NPI Number | 1821120205 |
|---|---|
| Provider Enumeration Date | 03/12/2007 |
| Last Update Date | 07/29/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821120205 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 52020 (California) | Primary |
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