# MARIO J CORDERO-PANGRAZIO, DMD, INC

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

## Provider details

- **NPI number:** 1851019509
- **Authorized official:** DR. MARIO J CORDERO-PANGRAZIO DMD (PRESIDENT/DENTIST)
- **Authorized official phone:** (408) 224-1333

## Contact information

- **Practice address:** 5595 WINFIELD BLVD STE 210, SAN JOSE, CA 95123-1220
- **Practice address phone:** (140) 822-4133
- **Practice address fax:** (408) 224-4192
- **Mailing address:** 5595 WINFIELD BLVD STE 210, SAN JOSE, CA 95123-1220
- **Mailing address phone:** (140) 822-4133
- **Mailing address fax:** (408) 224-4192

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 08/18/2022
- **Last updated:** 08/18/2022