Cupertino Dental Specialty Group

NPI #1467105031 in Cupertino, California

Provider Information

NPI Number
1467105031
Entity Type
Organization
Organization Name
Cupertino Dental Specialty Group
Subpart
Yes (part of a larger organization)
Parent Organization
CUPERTINO DENTAL GROUP PARTNERSHIP
Primary Specialty
Dentist - Oral and Maxillofacial Surgery
Enumeration Date
Feb 2, 2022
Last Updated
Feb 2, 2022

Practice Location

Address
10373 TORRE AVENUE
Address 2
SUITE G
ZIP Code
95014-9501
Phone
(408) 508-7560

Authorized Official

Name
MELINA LUCCHINI
Title
SUPERVISOR
Phone
(408) 257-3031

Specialties & Taxonomy Codes

Specialty
Dentist - EndodonticsEndodontics
Dentist - PeriodonticsPeriodontics
Dentist - Oral and Maxillofacial SurgeryOral and Maxillofacial Surgery

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