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Organization
NEEDHAM DENTAL CORPORATION
Active
Organization
NEEDHAM DENTAL CORPORATION
Active
Other names
university dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANTHONY JOHN NEEDHAM DDS (DENTAL DIRECTOR)
(408) 354-8549
Entity
Organization
Contact information
Practice address
847 SAN PABLO AVE, ALBANY, CA 94706-1602
(510) 528-7216
(510) 528-7217
Mailing address
236 N SANTA CRUZ AVE, UNIT 225, LOS GATOS, CA 95030-7244
(408) 354-8549
(408) 354-8649
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
50653
CA
Other
Enumeration date
05/08/2007
Last updated
08/22/2020
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