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Organization
EDWARD L. VINES DDS INC A DENTAL CORPORATION
Active
Organization
EDWARD L. VINES DDS INC A DENTAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDWARD L. VINES DDS (PRESIDENT)
(408) 842-3436
Entity
Organization
Contact information
Practice address
7880 WREN AVE, SUITE B-121, GILROY, CA 95020-4943
(408) 842-3436
Mailing address
7880 WREN AVE, SUITE B-121, GILROY, CA 95020-4943
(408) 842-3436
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
26556
CA
Other
Enumeration date
04/14/2008
Last updated
04/14/2008
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