| Pries Dental Care | |
|
4110 Moorpark Ave Suite C San Jose CA 95117-1712 | |
| (408) 260-0200 | |
| (408) 625-4725 |
| Full Name | Pries Dental Care |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 4110 Moorpark Ave, San Jose, California |
| Authorized Official Name and Position | Kostantions Pries (OWNER) |
| Authorized Official Contact | 4082600200 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pries Dental Care 4110 Moorpark Ave Suite C San Jose CA 95117-1712 Ph: (408) 260-0200 | Pries Dental Care 4110 Moorpark Ave Suite C San Jose CA 95117-1712 Ph: (408) 260-0200 |
| NPI Number | 1003278995 |
|---|---|
| Provider Enumeration Date | 03/22/2016 |
| Last Update Date | 07/26/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003278995 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 53853 (California) | Primary |
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