JOE ALLAN PROVINES

MOUNTAIN VIEW, CA
NPI1124118914
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223P0300X Dentist, Periodontics
(Licence: CA  20440)
Enumeration Date2006-10-13
Last Update Date2016-04-04
Business Address
Dr. JOE ALLAN PROVINES D.M.D.
105 SOUTH DR SUITE 200
MOUNTAIN VIEW, CA 94040-4311
Phone number: 650-964-4867
Mailing Address
Dr. JOE ALLAN PROVINES D.M.D.
877 W FREMONT AVE STE I2
SUNNYVALE, CA 94087-2319
Phone number: 650-964-4867