Organization
CDG-OP/PEDO
Active
Other names
Cupertino Pediatric Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
MELINA LUCCHINI (SUPERVISOR)
(408) 508-7528
Entity
Organization
Contact information
Practice address
10393 TORRE AVE STE L, CUPERTINO, CA 95014-3235
(408) 446-4353
Mailing address
10383 TORRE AVE STE I, CUPERTINO, CA 95014-3297
(408) 257-3031
(408) 257-5842
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
01/13/2023
Last updated
01/13/2023
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