Organization
JEREMY K UENO DMD A PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEREMY K UENO DDS (OWNER/CEO)
(408) 402-2159
Entity
Organization
Contact information
Practice address
2160 S BASCOM AVE STE 1, CAMPBELL, CA 95008-3297
(408) 371-7616
(408) 371-7615
Mailing address
2160 S BASCOM AVE STE 1, CAMPBELL, CA 95008-3297
(408) 371-7616
(408) 371-7651
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
—
—
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
09/03/2020
Last updated
09/04/2020
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