institution
Angelita Y. Luciano D.m.d., Inc.
Dental Clinic/Center in San Jose, California
NPI 1891972063

Angelita Y. Luciano D.m.d., Inc. is a Dental Clinic/Center based in San Jose, CA and is specialized in Dental. Angelita Y. Luciano D.m.d., Inc. practices in San Jose, CA. The NPI Number for Angelita Y. Luciano D.m.d., Inc. is 1891972063 and holds a License No. 41274 (California).

The current practice location address for Angelita Y. Luciano D.m.d., Inc. is 1695 Alum Rock Ave, San Jose, CA and can be reached out via phone at 408-258-3584 and via fax at 408-258-3586.

Location: 1695 Alum Rock Ave, San Jose, CA, 95116-2445
institution
Provider Profile Details
NPI Number
1891972063
Provider Name
Angelita Y. Luciano D.m.d., Inc.
Credential
Provider Entity Type
Organization
Address
1695 Alum Rock Ave, San Jose, CA, 95116-2445
Phone Number
408-258-3584
Fax Number
408-258-3586
Provider Enumeration Date
01/30/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
B41274-01 01 CA DENTICAL
institution
Provider Business Practice Location Address Details
Address
1695 Alum Rock Ave
City
State
Zip
95116-2445
Phone Number
408-258-3584
Fax Number
408-258-3586
person
Provider Business Mailing Address Details
Address
1695 Alum Rock Ave
City
State
Zip
95116-2445
Phone Number
408-258-3584
Fax Number
408-258-3586
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
License No.
41274 (California)
Definition
Definition to come...
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