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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

CHILDREN'S DENTAL INITIATIVE

Active Organization

CHILDREN'S DENTAL INITIATIVE is a Dental Clinic organization located in SAN JOSE, California. NPI 1790900215 is currently active in the NPPES registry. Verify at CMS.

Dental Clinic · SAN JOSE, CA

Registration Details

NPI Number
1790900215
Provider Type
Organization
NPI Issued
Apr 17, 2007 (19.142020413416 yrs)
Last Updated
Aug 22, 2020
License
G91493-01 (CA)

Practice Information

Address
645 WOOL CREEK DR
SAN JOSE, CA, 951122617
Browse CA providers · Browse ZIP 95112
Phone
4089619869
Primary Specialty
Dental Clinic
261QD0000X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.