Edward L. Vines DDS INC a Dental Corporation
NPI #1164696803 in Gilroy, California
Provider Information
- NPI Number
- 1164696803
- Entity Type
- Organization
- Organization Name
- Edward L. Vines DDS INC a Dental Corporation
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Apr 14, 2008
- Last Updated
- Apr 14, 2008
Practice Location
- Address
- 7880 WREN AVE
- Address 2
- SUITE B-121
- City
- Gilroy
- State
- California
- ZIP Code
- 95020-4943
- Phone
- (408) 842-3436
Authorized Official
- Name
- DR. EDWARD L. VINES, DDS
- Title
- PRESIDENT
- Phone
- (408) 842-3436
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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