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Organization
REOZEL REALON BUQUING, DDS, INC.
Active
Organization
REOZEL REALON BUQUING, DDS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. REOZEL REALON BUQUING DMD (PRESIDENT)
(408) 876-7728
Entity
Organization
Contact information
Practice address
150 N JACKSON AVE, SUITE 108, SAN JOSE, CA 95116-1908
(408) 259-7100
(408) 259-0513
Mailing address
150 N JACKSON AVE, SUITE 108, SAN JOSE, CA 95116-1908
(408) 259-7100
(408) 259-0513
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
56235
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1821285545
DENTICAL
CA
Enumeration date
04/11/2017
Last updated
04/11/2017
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