Angelita Y. Luciano D.M.D., Inc. in San Jose - Dental

Angelita Y. Luciano D.M.D., Inc. - NPI 1891972063

Angelita Y. Luciano D.M.D., Inc. is a Dental in San Jose, California. Angelita Y. Luciano D.M.D., Inc. practices all healthcare services and medical treatments related to Dental. The NPI Number for Angelita Y. Luciano D.M.D., Inc. is 1891972063. The last update date is 2008-01-30.

Angelita Y. Luciano D.M.D., Inc.'s current location address is 1695 Alum Rock Ave, San Jose, California. You can contact this provider via phone number 4082583584 and fax number 4082583586. The mailing address for Angelita Y. Luciano D.M.D., Inc. is 1695 Alum Rock Ave, San Jose, California. To know further, please read the information below!

Provider Profile Detail

Provider Organization Angelita Y. Luciano D.M.D., Inc.
Address 1695 Alum Rock Ave, San Jose, California
Phone Number 4082583584
Fax Number 4082583586
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OFFICE MAN
Authorized Official Name Luciano Lapena Bernardo
Telephone Number 4082583584

NPI Number Detail

NPI Number 1891972063
Provider Enumeration Date 2008-01-30
Last Updated Date 2008-01-30

Provider Mailing Address Detail

Address 1695 Alum Rock Ave
City San Jose
State California (CA)
Post Code 951162445
Phone Number 4082583584
Fax Number 4082583586

Provider's Primary Taxonomy Detail

Speciality Dental
Taxonomy 261Qd0000X
Licence No 41274
Definition:
Provides general and specialized dental care and oral surgery.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
B41274-01 CA DENTICAL

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FAQs about Angelita Y. Luciano D.M.D., Inc.

What is the Angelita Y. Luciano D.M.D., Inc.'s unique identification number?

The Angelita Y. Luciano D.M.D., Inc. has been assigned the NPI (National Provider Identifier) Number 1891972063 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you please share the complete physical location address where Angelita Y. Luciano D.M.D., Inc.'s facilities are situated?

The facilities of Angelita Y. Luciano D.M.D., Inc. are physically located at the following address: 1695 Alum Rock Ave, San Jose, CA, 951162445.

What is Angelita Y. Luciano D.M.D., Inc.'s specialized field of practice, and what is the corresponding taxonomy classification code?

The Angelita Y. Luciano D.M.D., Inc.'s area of specialization is Dental, and the corresponding taxonomy code that categorizes this field of practice is 261Qd0000X.

On what date did the Angelita Y. Luciano D.M.D., Inc. receive its 1891972063 assignment from the Centers for Medicare & Medicaid Services?

The Angelita Y. Luciano D.M.D., Inc. was assigned its 1891972063 by the Centers for Medicare & Medicaid Services on 2008-01-30.

When was the information regarding Angelita Y. Luciano D.M.D., Inc. most recently updated?

The details pertaining to the Angelita Y. Luciano D.M.D., Inc., including its address, specialty, and other relevant information, were last refreshed on 2008-01-30.

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