Individual
DR. CARLOS ALBERTO ASCENCIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
2344 MCKEE RD, SUITE 40, SAN JOSE, CA 95116-1616
(408) 347-9401
Mailing address
2344 MCKEE RD, SUITE 40, SAN JOSE, CA 95116-1616
(408) 347-9401
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
40785
CA
Other
Enumeration date
02/20/2007
Last updated
07/08/2007
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