Organization
BUI & ENRIQUEZ DENTAL CORPORATION
Active
Other names
Enriquez & Bui Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VICTOR M ENRIQUEZ D.D.S. (OWNER)
(408) 225-1885
Entity
Organization
Contact information
Practice address
88 W. TULLY RD., UNIT #115, SAN JOSE, CA 95111
(408) 225-1885
Mailing address
21500 BERTRAM RD, SAN JOSE, CA 95120-4324
(408) 225-1888
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
05/17/2007
Last updated
08/22/2020
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