| Lucia Tanzil Dds Inc | |
|
2211 Moorpark Ave Ste 100 San Jose CA 95128-2655 | |
| (408) 298-5959 | |
| Not Available |
| Full Name | Lucia Tanzil Dds Inc |
|---|---|
| Speciality | Dentist |
| Location | 2211 Moorpark Ave Ste 100, San Jose, California |
| Authorized Official Name and Position | Lucia Tanzil (DOCTOR) |
| Authorized Official Contact | 4082985959 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lucia Tanzil Dds Inc 2211 Moorpark Ave Ste 100 San Jose CA 95128-2655 Ph: (408) 298-5959 | Lucia Tanzil Dds Inc 2211 Moorpark Ave Ste 100 San Jose CA 95128-2655 Ph: (408) 298-5959 |
| NPI Number | 1013621408 |
|---|---|
| Provider Enumeration Date | 01/10/2023 |
| Last Update Date | 01/10/2023 |
| Medicare PECOS PAC ID | 8921479122 |
|---|---|
| Medicare Enrollment ID | O20230126001629 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013621408 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
| Provider Name | Lucia A Tanzil |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1861517344 PECOS PAC ID: 9830560036 Enrollment ID: I20230126001700 |
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