Individual
MRS. LAURIE VERCELES BERCASIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.D.H.
Contact information
Practice address
1270 OAKMEAD PKWY STE 210, SUNNYVALE, CA 94085-4041
(408) 773-8681
Mailing address
32475 CAPITOLA CT, UNION CITY, CA 94587-5164
(510) 429-1265
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
RDH15173
CA
Other
Enumeration date
05/16/2007
Last updated
07/08/2007
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