Jeremy K Ueno Dmd a Professional Corporation

NPI #1629682901 in Campbell, California

Provider Information

NPI Number: 1629682901
Entity Type: Organization
Organization Name: Jeremy K Ueno Dmd a Professional Corporation
Primary Specialty: Dentist - Oral and Maxillofacial Surgery
Enumeration Date: Sep 3, 2020
Last Updated: Sep 4, 2020

Practice Location

Address: 2160 S BASCOM AVE STE 1
City: Campbell
State: California
ZIP Code: 95008-3297
Phone: (408) 371-7616

Authorized Official

Name: JEREMY K UENO, DDS
Title: OWNER/CEO
Phone: (408) 402-2159

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X
Dentist - Oral and Maxillofacial Surgery — Oral and Maxillofacial Surgery	1223S0112X	Primary

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