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Organization
JOSE A. ACOSTA-CUEVAS, DDS, INC.
Active
Organization
JOSE A. ACOSTA-CUEVAS, DDS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSE ANTONIO ACOSTA-CUEVAS D.D.S. (PRESIDENT)
(916) 683-3775
Entity
Organization
Contact information
Practice address
8461 ELK GROVE BLVD, ELK GROVE, CA 95758-9573
(916) 683-3775
(916) 683-3164
Mailing address
10232 STATHOS DR, ELK GROVE, CA 95757-5995
(916) 685-4966
(916) 685-5619
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D50555
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1700917986
1223G0001X
CA
Enumeration date
05/23/2007
Last updated
01/10/2012
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