CHILDREN'S DENTAL INITIATIVE

NPI # 

Practice Address:

645 Wool Creek Dr

San Jose, CA, 95112-2617

Practice Phone:

408-961-9869

License Number:

G91493-01

License State:

CA

Taxonomy Grouping:

Ambulatory Health Care Facilities

Taxonomy Classification:

Clinic/Center

Taxonomy Specialization:

Dental

Taxonomy Code:

261QD0000X

Updated by NPPES on 8/22/2020. You can view the original data set for NPI # 1790900215 on the official NPPES website. If the information about this NPI provider/company is outdated you can request updates through the NPPES website. See our FAQ page for more information.

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CHILDREN'S DENTAL INITIATIVE's

CMS CPT® coding data

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CHILDREN'S DENTAL INITIATIVE's

CMS prescription data

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