Organization
EDMOND DE ST GEORGES DDS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDMOND DE ST GEORGES DDS (DENTIST CEO)
(408) 263-1255
Entity
Organization
Contact information
Practice address
452 E CALAVERAS BLVD, MILPITAS, CA 95035-5412
(408) 263-1255
(408) 263-5167
Mailing address
452 E CALAVERAS BLVD, MILPITAS, CA 95035-5412
(408) 263-1255
(408) 263-5167
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
19493
CA
Other
Enumeration date
10/28/2006
Last updated
04/05/2012
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