| Edmond De St Georges DDS Inc | |
|
452 E Calaveras Blvd Milpitas CA 95035-5412 | |
| (408) 263-1255 | |
| (408) 263-5167 |
| Full Name | Edmond De St Georges DDS Inc |
|---|---|
| Speciality | Dentist |
| Location | 452 E Calaveras Blvd, Milpitas, California |
| Authorized Official Name and Position | Edmond De St Georges (DENTIST CEO) |
| Authorized Official Contact | 4082631255 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Edmond De St Georges DDS Inc 452 E Calaveras Blvd Milpitas CA 95035-5412 Ph: (408) 263-1255 | Edmond De St Georges DDS Inc 452 E Calaveras Blvd Milpitas CA 95035-5412 Ph: (408) 263-1255 |
| NPI Number | 1649356098 |
|---|---|
| Provider Enumeration Date | 10/28/2006 |
| Last Update Date | 04/05/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649356098 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 19493 (California) | Primary |
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