DR. Ivette M San Juan, DDS
NPI #1477078665 in Gilroy, California
Provider Information
- NPI Number
- 1477078665
- Entity Type
- Individual
- Name
- DR. Ivette M San Juan, DDS
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist - General Practice
- Credential
- DDS
- Enumeration Date
- Aug 8, 2017
- Last Updated
- Jul 21, 2022
Practice Location
- Address
- 1495 MANTELLI DR
- City
- Gilroy
- State
- California
- ZIP Code
- 95020-3772
- Phone
- (408) 500-2155
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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