# MARY BOOTS F. ROBINOS, D.M.D.,INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1801214390
- **Authorized official:** DR. MARY BOOTS FIESTA ROBINOS D.M.D. (PRESIDENT/CEO)
- **Authorized official phone:** (408) 259-7000

## Contact information

- **Practice address:** 2664 BERRYESSA RD, SUITE 213, SAN JOSE, CA 95132-2925
- **Practice address phone:** (408) 259-7000
- **Practice address fax:** (408) 259-8000
- **Mailing address:** 2664 BERRYESSA RD, SUITE 213, SAN JOSE, CA 95132-2925
- **Mailing address phone:** (408) 259-7000
- **Mailing address fax:** (408) 259-8000

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 302R00000X | Health Maintenance Organization | 56805 | CA | Yes |

## Other

- **Enumeration date:** 04/01/2014
- **Last updated:** 04/01/2014