Organization
CALIFORNIA INTEGRATED DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIYOSHI THOMPSON MRS (HOD)
(254) 550-3280
Entity
Organization
Contact information
Practice address
2066 N CAPITOL AVE # 1169, SAN JOSE, CA 95132-1015
(254) 550-3280
Mailing address
2066 N CAPITOL AVE # 1169, SAN JOSE, CA 95132-1015
(254) 550-3280
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
12/12/2021
Last updated
12/12/2021
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