Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Blossom Hill Dental Clinic

Organization Dentist · NPI 1194991190

Blossom Hill Dental Clinic is a Dentist in San Jose, California. Licensed in California. Registered with an NPI since 2008.

Licensed in
CA
In the registry since
2008
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Practice location Address checks out

5460 Dellwood Way Ste A
San Jose, CA 95118-2965
Phone: (408) 266-1117
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 40751 (CA)

Record details

NPI number1194991190
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationRichmond Dental Care
Authorized official Yuri Undorf — Owner · (415) 752-5605
NPI enumeratedApril 30, 2008
Last updated in NPPESApril 30, 2008
Mailing address5460 Dellwood Way Ste A, San Jose, CA 95118-2965

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