Organization
LUCIA TANZIL DDS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LUCIA TANZIL DDS (DOCTOR)
(408) 298-5959
Entity
Organization
Contact information
Practice address
2211 MOORPARK AVE STE 100, SAN JOSE, CA 95128-2655
(408) 298-5959
Mailing address
2211 MOORPARK AVE STE 100, SAN JOSE, CA 95128-2655
(408) 298-5959
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
01/10/2023
Last updated
01/10/2023
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