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Organization
EUGENIA KUTSENKO
Active
Organization
EUGENIA KUTSENKO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. EUGENIA KUTSENKO DDS (DENTIST)
(408) 265-4064
Entity
Organization
Contact information
Practice address
3535 ROSS AVE, #304, SAN JOSE, CA 95124
(408) 265-4064
(408) 265-9876
Mailing address
3535 ROSS AVE, #304, SAN JOSE, CA 95124
(408) 265-4064
(408) 265-9876
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
B4472201
DETICAL 1999
CA
Enumeration date
10/24/2006
Last updated
08/22/2020
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