Koa and Vallarta Dental Corp
NPI #1992195119 in Milpitas, California
Provider Information
- NPI Number
- 1992195119
- Entity Type
- Organization
- Organization Name
- Koa and Vallarta Dental Corp
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Jan 26, 2015
- Last Updated
- Jan 26, 2015
Practice Location
- Address
- 1474 N MILPITAS BLVD
- City
- Milpitas
- State
- California
- ZIP Code
- 95035-3118
- Phone
- (408) 946-1397
Authorized Official
- Name
- DR. MICHAEL VALLARTA, DMD
- Title
- DENTIST/OWNER
- Phone
- (408) 946-1397
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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