Individual
ALYSON MINGRONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1050 S BASCOM AVE STE 200, SAN JOSE, CA 95128
(408) 995-0400
Mailing address
1050 S BASCOM AVE STE 200, SAN JOSE, CA 95128-3549
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
65175
CA
1223G0001X
General Practice Dentistry
6719
NV
Other
Enumeration date
12/14/2015
Last updated
06/15/2018
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