Willow Glen Dental Specialists
Willow Glen Dental Specialists is a Dentist in San Jose, California. Registered with an NPI since 2017.
- In the registry since
- 2017
- Specialties on file
- 5
Practice location Address checks out
1706 Willow St Ste ASan Jose, CA 95125-5216
Phone: (408) 504-4935
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Oral and Maxillofacial Surgery (Dentist) (primary) | Taxonomy 1223S0112X |
|---|---|
| Dentist | Taxonomy 122300000X · Licence DDS54347 |
| Endodontics | Taxonomy 1223E0200X |
| Periodontics | Taxonomy 1223P0300X |
| Orthodontics and Dentofacial Orthopedics Dentistry | Taxonomy 1223X0400X |
Record details
| NPI number | 1609385020 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Rosie Adame — Medical Billing Specialist · (408) 266-6144 |
| NPI enumerated | September 28, 2017 |
| Last updated in NPPES | May 10, 2018 |
| Mailing address | 1706 Willow St Ste A, San Jose, CA 95125-5216 |
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