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Organization
NISHIMURA DENTAL GROUP
Active
Organization
NISHIMURA DENTAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIFFANY L KITAMURA D.D.S. (PRESIDENT)
(408) 265-5700
Entity
Organization
Contact information
Practice address
1198 MERIDIAN AVE STE B, SAN JOSE, CA 95125-4326
(408) 265-5700
(408) 265-5703
Mailing address
1198 MERIDIAN AVENUE, SUITE B, SAN JOSE, CA 95125
(408) 265-5700
(408) 265-5703
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
46624
CA
1223G0001X
General Practice Dentistry
46663
CA
Other
Enumeration date
07/13/2007
Last updated
07/13/2007
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