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Organization
IMELDA P NAGTALON DDS., CORP.
Active
Organization
IMELDA P NAGTALON DDS., CORP.
Active
Other names
Family Dental Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. IMELDA P NAGTALON DDS (OWNER)
(408) 993-8491
Entity
Organization
Contact information
Practice address
1175 E JULIAN ST STE 4, SAN JOSE, CA 95116-1091
(408) 993-8491
(408) 899-2070
Mailing address
1175 E JULIAN ST STE 4, SAN JOSE, CA 95116-1091
(408) 993-8491
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
34370
CA
1223G0001X
General Practice Dentistry
Primary
49154
CA
Other
Enumeration date
06/21/2017
Last updated
07/21/2022
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