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Patrick Suezaki
Student in an Organized Health Care Education/Training Program in San Jose, California
NPI 1306333174

Patrick Suezaki is a Student in an Organized Health Care Education/Training Program based in San Jose, CA. Patrick Suezaki practices in San Jose, CA. The NPI Number for Patrick Suezaki is 1306333174 and holds a License No. 102632 (California).

The current practice location address for Patrick Suezaki is 250 Montclair Ave Ste C, San Jose, CA and can be reached out via phone at 408-251-0547.

Location: 250 Montclair Ave Ste C, San Jose, CA, 95116-1761
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1306333174
Provider Name
Patrick Suezaki
Credential
Provider Entity Type
Individual
Gender
Male
Address
250 Montclair Ave Ste C, San Jose, CA, 95116-1761
Phone Number
408-251-0547
Fax Number
Provider Enumeration Date
04/17/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
250 Montclair Ave Ste C
City
San Jose
State
California
Zip
95116
Phone Number
408-251-0547
Fax Number
person
Provider Business Mailing Address Details
Address
250 Montclair Ave Ste C
City
San Jose
State
California
Zip
95116
Phone Number
408-251-0547
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
()
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
102632 (California)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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