Corazon C. Inocencio Apdc

NPI #1558622092 in Milpitas, California

Provider Information

NPI Number: 1558622092
Entity Type: Organization
Organization Name: Corazon C. Inocencio Apdc
Primary Specialty: Dentist
Enumeration Date: May 31, 2012
Last Updated: May 31, 2012

Practice Location

Address: 991 MONTAGUE EXPRESSWAY
Address 2: SUITE 205
City: Milpitas
State: California
ZIP Code: 95035-6819
Phone: (408) 946-8898

Authorized Official

Name: CORAZON C INOCENCIO, DMD
Title: DENTIST/PRESIDENT
Phone: (408) 946-8898

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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