Organization
KEVIN J. COOLIDGE DDS INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEVIN JAMES COOLIDGE DDS (OWNER)
(408) 736-4344
Entity
Organization
Contact information
Practice address
500 E REMINGTON DR STE 22, SUNNYVALE, CA 94087-2612
(408) 736-4344
Mailing address
866 W IOWA AVE, SUNNYVALE, CA 94086-7568
(415) 730-2814
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
55295
CA
Other
Enumeration date
07/11/2018
Last updated
07/11/2018
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