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Organization
DOUGLAS W. VIERRA, D.D.S., INC.
Active
Organization
DOUGLAS W. VIERRA, D.D.S., INC.
Active
Other names
Plaza Dental Group
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DOUGLAS W VIERRA D.D.S. (PRESIDENT)
(408) 270-4333
Entity
Organization
Contact information
Practice address
4205 SAN FELIPE RD, SUITE 200, SAN JOSE, CA 95135-1505
(408) 270-4333
(408) 270-3373
Mailing address
4205 SAN FELIPE ROAD, SUITE 200, SAN JOSE, CA 95135-1505
(408) 270-4333
(408) 270-3373
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
32626
CA
1223G0001X
General Practice Dentistry
40148
CA
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
55364
CA
Other
Enumeration date
06/27/2011
Last updated
06/27/2011
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