| Swnaon Denal Corporation | |
|
3535 Ross Ave Ste 302 San Jose CA 95124-3038 | |
| (408) 265-6501 | |
| (408) 265-6502 |
| Full Name | Swnaon Denal Corporation |
|---|---|
| Speciality | Dentist - Endodontics |
| Location | 3535 Ross Ave Ste 302, San Jose, California |
| Authorized Official Name and Position | Diana Swanson (OWNER) |
| Authorized Official Contact | 4082656501 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Swnaon Denal Corporation 3535 Ross Ave Ste 302 San Jose CA 95124-3038 Ph: (408) 265-6501 | Swnaon Denal Corporation 3535 Ross Ave Ste 302 San Jose CA 95124-3038 Ph: (408) 265-6501 |
| NPI Number | 1275975393 |
|---|---|
| Provider Enumeration Date | 07/18/2013 |
| Last Update Date | 07/18/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275975393 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223E0200X | Dentist - Endodontics | 51603 (California) | Primary |
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