Edmond De St Georges DDS INC

NPI #1649356098 in Milpitas, California

Provider Information

NPI Number
1649356098
Entity Type
Organization
Organization Name
Edmond De St Georges DDS INC
Primary Specialty
Dentist
Enumeration Date
Oct 28, 2006
Last Updated
Apr 5, 2012

Practice Location

Address
452 E CALAVERAS BLVD
ZIP Code
95035-5412
Phone
(408) 263-1255

Authorized Official

Name
DR. EDMOND DE ST GEORGES, DDS
Title
DENTIST CEO
Phone
(408) 263-1255

Specialties & Taxonomy Codes

Specialty
Dentist

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