Individual
AMARILIS SAN VICENTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
160 E VIRGINIA ST STE 100, SAN JOSE, CA 95112-5865
(408) 918-2618
(408) 579-6143
Mailing address
160 E VIRGINIA ST STE 100, SAN JOSE, CA 95112-5865
(408) 918-2618
(408) 579-6143
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
48989
CA
Other
Enumeration date
04/17/2007
Last updated
12/15/2015
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