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Organization
VIDYA BOBBA, DMD, INC.
Active
Organization
VIDYA BOBBA, DMD, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VIDYA BOBBA DMD (CEO)
(408) 997-1251
Entity
Organization
Contact information
Practice address
6529 CROWN BLVD STE B, SAN JOSE, CA 95120-2905
(408) 997-1251
Mailing address
6529 CROWN BLVD STE B, SAN JOSE, CA 95120-2905
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
47849
CA
Other
Enumeration date
05/31/2018
Last updated
07/13/2021
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