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1023777539
CALIFORNIA INTEGRATED DENTISTRY
SAN JOSE, CA
NPI
1023777539
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Entity Type
Organization
Authorized Contact
KIYOSHI THOMPSON
Hod
254-550-3280
Organization Subpart ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
Enumeration Date
2021-12-12
Last Update Date
2021-12-12
Business Address
CALIFORNIA INTEGRATED DENTISTRY
2066 N CAPITOL AVE # 1169
SAN JOSE, CA 95132-1015
Phone number: 254-550-3280
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Mailing Address
CALIFORNIA INTEGRATED DENTISTRY
2066 N CAPITOL AVE # 1169
SAN JOSE, CA 95132-1015
Phone number: 254-550-3280
Copy
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