is a Dental Clinic in San Jose, California. It is located at 1175 E Julian St Ste 4, San Jose, CA and its contact number is 408-993-8491. The authorized person for is Dr. Imelda P Nagtalon
who is Owner of the clinic and their contact number is 408-993-8491. The primary license number for is 49154 (General Practice) in California. Clinic caters to patients of all ages for their dental care needs. Dentists at the clinic are responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Clinic Profile:
Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
Specialization:
General Practice Dentistry
Clinic Address:
1175 E Julian St Ste 4, San Jose, California, 95116-1091
Phone:
408-993-8491
Fax:
408-899-2070
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
Name:
Dr. Imelda P Nagtalon
Position:
Owner
Contact Number:
408-993-8491
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for clinic are as mentioned below.
NPI Number:
1013437094
NPI Enumeration Date:
21 Jun, 2017
NPI Last Update On:
21 Jul, 2022
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for are as mentioned below.
Specialization
License Number
State
Status
General Practice
49154
California
Primary
General Practice
34370
California
Secondary
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
1175 E Julian St Ste 4, San Jose, California
Zip:
95116-1091
Phone Number:
408-993-8491
Fax Number:
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Patients can reach at 1175 E Julian St Ste 4, San Jose, California or can call to book an appointment on 408-993-8491. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 10 February, 2025.