Organization
COLIN S. ILAS D.D.S.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LINNETTE FELIPE MANGOBA (OFFICE MANAGER)
(408) 928-1450
Entity
Organization
Contact information
Practice address
1206 N CAPITOL AVE STE 101, SAN JOSE, CA 95132-2572
(408) 928-1450
(408) 928-1454
Mailing address
1206 N CAPITOL AVE STE 101, SAN JOSE, CA 95132-2572
(408) 928-1450
(408) 928-1454
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
12/11/2019
Last updated
12/11/2019
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