Organization
ABRIOL DENTAL CORP.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NICASIO MACARAEG ABRIOL JR. DMD (OWNER)
(408) 259-0458
Entity
Organization
Contact information
Practice address
3068 STORY RD, SAN JOSE, CA 95127-3934
(408) 259-0458
(408) 729-0559
Mailing address
3068 STORY RD, SAN JOSE, CA 95127-3934
(408) 259-0458
(408) 729-0559
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
B43301
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
D43301
—
CA
Enumeration date
10/16/2007
Last updated
10/16/2007
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