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Organization
ANGELITA Y. LUCIANO D.M.D., INC.
Active
Organization
ANGELITA Y. LUCIANO D.M.D., INC.
Active
Other names
none
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BERNARDO LAPENA LUCIANO JR. (OFFICE MANAGER)
(408) 258-3584
Entity
Organization
Contact information
Practice address
1695 ALUM ROCK AVE, SUITE #1, SAN JOSE, CA 95116-2445
(408) 258-3584
(408) 258-3586
Mailing address
1695 ALUM ROCK AVE, SUITE #1, SAN JOSE, CA 95116-2445
(408) 258-3584
(408) 258-3586
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
41274
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
B41274-01
DENTICAL
CA
Enumeration date
01/30/2008
Last updated
01/30/2008
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