Organization
CALIFORNIA DENTAL ARTS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LEON FRANGADAKIS (OWNER)
(408) 255-1020
Entity
Organization
Contact information
Practice address
20421 PACIFICA DR, CUPERTINO, CA 95014-3013
(408) 255-1020
Mailing address
20421 PACIFICA DR, CUPERTINO, CA 95014-3013
Taxonomy
Speciality
Code
Description
License number
State
292200000X
Dental Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NONE
NO ISSUER
—
Enumeration date
06/08/2017
Last updated
06/08/2017
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