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Percy Poncho Serrano, PERCYSERRANO
General Practice Dentistry in San Jose, California
NPI 1538298625

Percy Poncho Serrano is a General Practice Dentistry based in San Jose, CA and is specialized in General Practice. Percy Poncho Serrano practices in San Jose, CA and has the professional credentials of PERCYSERRANO. The NPI Number for Percy Poncho Serrano is 1538298625 and holds a License No. 28486 (California).

The current practice location address for Percy Poncho Serrano is 6541 Crown Blvd, San Jose, CA and can be reached out via phone at 408-268-4161 and via fax at 408-268-5745.

Location: 6541 Crown Blvd, San Jose, CA, 95120-2907
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1538298625
Provider Name
Percy Poncho Serrano
Credential
PERCYSERRANO
Provider Entity Type
Individual
Gender
Male
Address
6541 Crown Blvd, San Jose, CA, 95120-2907
Phone Number
408-268-4161
Fax Number
408-268-5745
Provider Enumeration Date
03/05/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
6541 Crown Blvd
City
San Jose
State
California
Zip
95120-2907
Phone Number
408-268-4161
Fax Number
408-268-5745
person
Provider Business Mailing Address Details
Address
6541 Crown Blvd
City
San Jose
State
California
Zip
95120-2907
Phone Number
408-268-4161
Fax Number
408-268-5745
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
28486 (California)
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.
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