Organization
SHEN DDS DENTAL CORP.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN SHEN D.D.S. (PRESIDENT)
(510) 918-3284
Entity
Organization
Contact information
Practice address
20410 TOWN CENTER LN, SUITE 190, CUPERTINO, CA 95014-3229
(408) 713-0730
Mailing address
20410 TOWN CENTER LN, SUITE 190, CUPERTINO, CA 95014-3229
(408) 713-0730
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
59472
CA
Other
Enumeration date
10/20/2013
Last updated
10/24/2013
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