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Organization
EDMOND DE ST GEORGES DDS INC
Active
Organization
EDMOND DE ST GEORGES DDS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDMOND DE ST GEORGES DDS (DENTIST CEO)
(408) 263-1255
Entity
Organization
Contact information
Practice address
452 E CALAVERAS BLVD, MILPITAS, CA 95035-5412
(408) 263-1255
(408) 263-5167
Mailing address
452 E CALAVERAS BLVD, MILPITAS, CA 95035-5412
(408) 263-1255
(408) 263-5167
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
19493
CA
Other
Enumeration date
10/28/2006
Last updated
04/05/2012
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