| Dba Belle Dental | |
|
2664 Berryessa Rd Suite 102 San Jose CA 95132-2925 | |
| (408) 892-8478 | |
| (408) 254-0887 |
| Full Name | Dba Belle Dental |
|---|---|
| Speciality | Dentist |
| Location | 2664 Berryessa Rd, San Jose, California |
| Authorized Official Name and Position | Vu Tran (CEO) |
| Authorized Official Contact | 4088928478 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dba Belle Dental 2664 Berryessa Rd Suite 102 San Jose CA 95132-2925 Ph: (408) 595-4267 | Dba Belle Dental 2664 Berryessa Rd Suite 102 San Jose CA 95132-2925 Ph: (408) 892-8478 |
| NPI Number | 1184823536 |
|---|---|
| Provider Enumeration Date | 07/16/2007 |
| Last Update Date | 03/05/2014 |
| Medicare PECOS PAC ID | 5294167946 |
|---|---|
| Medicare Enrollment ID | O20191118002516 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184823536 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 54906 (California) | Primary |
| Provider Name | Vu Gia-hoang Tran |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1336201326 PECOS PAC ID: 7012349772 Enrollment ID: I20191118002627 |
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