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Organization
PRIES DENTAL CARE
Active
Organization
PRIES DENTAL CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KOSTANTIONS PRIES DDS (OWNER)
(408) 260-0200
Entity
Organization
Contact information
Practice address
4110 MOORPARK AVE, SUITE C, SAN JOSE, CA 95117-1712
(408) 260-0200
(408) 625-4725
Mailing address
4110 MOORPARK AVE, SUITE C, SAN JOSE, CA 95117-1712
(408) 260-0200
(408) 625-4725
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
53853
CA
Other
Enumeration date
03/22/2016
Last updated
07/26/2016
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