| Cesar A Simon A Dental Corporation | |
|
491 E Calaveras Blvd Milpitas CA 95035-5490 | |
| (408) 262-6608 | |
| Not Available |
| Full Name | Cesar A Simon A Dental Corporation |
|---|---|
| Speciality | Dentist |
| Location | 491 E Calaveras Blvd, Milpitas, California |
| Authorized Official Name and Position | Cesar A. Simon (PRESIDENT) |
| Authorized Official Contact | 4082626608 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cesar A Simon A Dental Corporation 491 E Calaveras Blvd Milpitas CA 95035-5490 Ph: (408) 262-6608 | Cesar A Simon A Dental Corporation 491 E Calaveras Blvd Milpitas CA 95035-5490 Ph: (408) 262-6608 |
| NPI Number | 1780784462 |
|---|---|
| Provider Enumeration Date | 09/23/2006 |
| Last Update Date | 07/27/2020 |
| Medicare PECOS PAC ID | 5395174734 |
|---|---|
| Medicare Enrollment ID | O20200406001271 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780784462 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 39083 (California) | Primary |
| Provider Name | Cesar A Simon |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1497154744 PECOS PAC ID: 5991006827 Enrollment ID: I20200429002343 |
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