Organization · Type 2 NPI

Children's Dental Initiative

Dental Clinic/Center · San Jose, CA

NPI number 1790900215 Active

Practice location

645 Wool Creek Dr
San Jose, CA 95112-2617

Call (408) 961-9869 Map

Mailing address

2085 Hamilton Ave, Ste. 150
San Jose, CA 95125-6117

Specialties and licenses

TaxonomyCodeLicense
Dental Clinic/Center Primary 261QD0000XG91493-01 (CA)

Dental Clinic/Center: Definition to come...

29 other providers at this address

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About NPI 1790900215

Children's Dental Initiative's National Provider Identifier is 1790900215, issued on Apr 17, 2007. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in San Jose, CA. The record was last updated on Aug 22, 2020.