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Organization
JEUNEDERM COSMETIC SURGERY CENTER, INC.
Active
Organization
JEUNEDERM COSMETIC SURGERY CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ABDOLREZA TABRIZ MD (CEO)
(408) 263-2223
Entity
Organization
Contact information
Practice address
991 MONTAGUE EXPY, SUITE 202, MILPITAS, CA 95035-6809
(408) 263-2223
(408) 263-2225
Mailing address
991 MONTAGUE EXPRESS WAY, SUITE 202, MILPITAS, CA 95035
(408) 263-2223
(408) 263-2225
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
CA
Other
Enumeration date
04/01/2010
Last updated
04/01/2010
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