Individual
MAGDALY MONTENEGRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2044 LUNDER CT, SAN JOSE, CA 95131-2726
(408) 509-4622
Mailing address
2044 LUNDER CT, SAN JOSE, CA 95131-2726
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
83628
CA
Other
Enumeration date
01/09/2015
Last updated
01/09/2015
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