Organization
CORAZON C. INOCENCIO APDC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CORAZON C INOCENCIO DMD (DENTIST/PRESIDENT)
(408) 946-8898
Entity
Organization
Contact information
Practice address
991 MONTAGUE EXPRESSWAY, SUITE 205, MILPITAS, CA 95035-6819
(408) 946-8898
(408) 946-1814
Mailing address
991 MONTAGUE EXPWY., SUITE #205, MILPITAS, CA 95035-6819
(408) 946-8898
(408) 946-1814
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
40834
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G89822-01
BPN
CA
Enumeration date
05/31/2012
Last updated
05/31/2012
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