Blossom Hill Dental Clinic

LBN: Blossom Hill Dental Clinic
Blossom Hill Dental Clinic is an health care organization with primary practice located at 5460 Dellwood Way Ste A , San Jose CA 95118-2965. The organization recently has only one registered license in Dental Providers / Dentist, which is considered as the primary health care specialty. Blossom Hill Dental Clinic can be contacted via phone (408) 266-1117, or through Undorf, Yuri via phone (415) 752-5605.

Contact Information

Primary practice address
5460 Dellwood Way Ste A San Jose CA 95118-2965
Phone: (408) 266-1117
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Undorf, Yuri Doctor of Dental Surgery (DDS)
Phone: (415) 752-5605

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 40751 California

Profile Details

NPI number 1194991190
LBN Legal business name Blossom Hill Dental Clinic
DBA Doing business as
Authorized official Undorf, Yuri Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 Yes
Enumeration date Apr 30th, 2008
Last updated Apr 30th, 2008 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1194991190 NPPES
California Other G9111501 DENTI CAL NUMBER ISSUED FOR OFFICE #1

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