| General Corporation | |
|
7880 Wren Ave Ste F162 Gilroy CA 95020-7802 | |
| (408) 847-4550 | |
| (408) 848-1784 |
| Full Name | General Corporation |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 7880 Wren Ave Ste F162, Gilroy, California |
| Authorized Official Name and Position | John Barron Perez (GENERAL DENTIST) |
| Authorized Official Contact | 4088474550 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| General Corporation 7880 Wren Ave Ste F162 Gilroy CA 95020-7802 Ph: (408) 847-4550 | General Corporation 7880 Wren Ave Ste F162 Gilroy CA 95020-7802 Ph: (408) 847-4550 |
| NPI Number | 1861645327 |
|---|---|
| Provider Enumeration Date | 10/28/2008 |
| Last Update Date | 10/28/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861645327 | NPI | - | NPPES |
| 1417089541 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 28478 (California) | Primary |
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