Individual
AGELINA PAEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6942 ALMADEN EXPY, SAN JOSE, CA 95120-3201
(408) 770-9383
Mailing address
8661 NE 123RD PL, KIRKLAND, WA 98034-6030
(425) 691-7289
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
100231
CA
Other
Enumeration date
06/10/2014
Last updated
08/03/2016
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