| Stevens Creek Family Dentistry | |
|
3981 Stevens Creek Blvd Santa Clara CA 95050 | |
| (408) 261-8888 | |
| (408) 261-8883 |
| Full Name | Stevens Creek Family Dentistry |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 3981 Stevens Creek Blvd, Santa Clara, California |
| Authorized Official Name and Position | Tracy Trang Ngo (PRESIDENT) |
| Authorized Official Contact | 4082618882 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Stevens Creek Family Dentistry 704 Villa Centre Way San Jose CA 95128 Ph: (408) 835-0489 | Stevens Creek Family Dentistry 3981 Stevens Creek Blvd Santa Clara CA 95050 Ph: (408) 261-8888 |
| NPI Number | 1225198005 |
|---|---|
| Provider Enumeration Date | 12/11/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225198005 | NPI | - | NPPES |
| 1174607998 | Other | CA | GENERAL PRACTICE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 53252 (California) | Primary |
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