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Organization
KOA AND VALLARTA DENTAL CORP
Active
Organization
KOA AND VALLARTA DENTAL CORP
Active
Other names
ALLIANCE DENTAL CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL VALLARTA DMD (DENTIST/OWNER)
(408) 946-1397
Entity
Organization
Contact information
Practice address
1474 N MILPITAS BLVD, MILPITAS, CA 95035-3118
(408) 946-1397
(408) 262-1337
Mailing address
1474 N MILPITAS BLVD, MILPITAS, CA 95035-3118
(408) 946-1397
(408) 262-1337
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
56838
CA
Other
Enumeration date
01/26/2015
Last updated
01/26/2015
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