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1790232619
MICHAEL VALLARTA DENTAL CORPORATION
MILPITAS, CA
NPI
1790232619
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Entity Type
Organization
Authorized Contact
MICHAEL VALLARTA
President
760-274-7587
Organization Subpart ?
No
Primary Taxonomy
305S00000X Point of Service
(Licence: CA 56838)
Enumeration Date
2016-09-08
Last Update Date
2016-09-08
Business Address
MICHAEL VALLARTA DENTAL CORPORATION
1474 N MILPITAS BLVD
MILPITAS, CA 95035-3118
Phone number: 408-946-1397
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Mailing Address
MICHAEL VALLARTA DENTAL CORPORATION
PO BOX 611382
SAN JOSE, CA 95161-1382
Phone number: 760-274-7587
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