institution
Stason K. Shishido, D.d.s. Inc.
Dental Clinic/Center in San Jose, California
NPI 1609237759

Stason K. Shishido, D.d.s. Inc. is a Dental Clinic/Center based in San Jose, CA and is specialized in Dental. Stason K. Shishido, D.d.s. Inc. practices in San Jose, CA. The NPI Number for Stason K. Shishido, D.d.s. Inc. is 1609237759 and holds a License No. 35551 (California).

The current practice location address for Stason K. Shishido, D.d.s. Inc. is 2025 Forest Ave Ste 3, San Jose, CA and can be reached out via phone at 408-294-6624 and via fax at 408-920-0937.

Location: 2025 Forest Ave Ste 3, San Jose, CA, 95128-4806
institution
Provider Profile Details
NPI Number
1609237759
Provider Name
Stason K. Shishido, D.d.s. Inc.
Credential
Provider Entity Type
Organization
Address
2025 Forest Ave Ste 3, San Jose, CA, 95128-4806
Phone Number
408-294-6624
Fax Number
408-920-0937
Provider Enumeration Date
03/17/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2025 Forest Ave Ste 3
City
State
Zip
95128-4806
Phone Number
408-294-6624
Fax Number
408-920-0937
person
Provider Business Mailing Address Details
Address
2025 Forest Ave Ste 3
City
State
Zip
95128-4806
Phone Number
408-294-6624
Fax Number
408-920-0937
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
License No.
35551 (California)
Definition
Definition to come...
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