M ELDER DENTAL GROUP CORPORATION NPI 1215599394

NPI Information

M ELDER DENTAL GROUP CORPORATION is an oral and maxillofacial surgery dentist in San Jose, CA. The provider is an oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. M ELDER DENTAL GROUP CORPORATION NPI is 1215599394. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

704 BLOSSOM HILL RD STE 102
SAN JOSE, CA
ZIP 95123-403
Phone: (408) 225-5000

The provider's authorized official is Emmy Montes .
The authorized official title is Director Of Centralized Billing and has the following contact phone number (415) 246-6305.

The enumeration date for this NPI number is 6/28/2019 and was last updated on 6/28/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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