Michael Vallarta Dental Corporation
NPI #1790232619 in Milpitas, California
Provider Information
- NPI Number
- 1790232619
- Entity Type
- Organization
- Organization Name
- Michael Vallarta Dental Corporation
- Primary Specialty
- Point of Service
- Enumeration Date
- Sep 8, 2016
- Last Updated
- Sep 8, 2016
Practice Location
- Address
- 1474 N MILPITAS BLVD
- City
- Milpitas
- State
- California
- ZIP Code
- 95035-3118
- Phone
- (408) 946-1397
Authorized Official
- Name
- MICHAEL VALLARTA, D.M.D.
- Title
- PRESIDENT
- Phone
- (760) 274-7587
Specialties & Taxonomy Codes
| Specialty |
|---|
| Point of Service |
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