Michael Oran Bambico, D.D.S.
Dentist in San Jose, CA. Individual provider (NPI-1).
NPI number1427277342
StatusActive
Last updated in NPPESDec 28, 2010
Details
- NPI
- 1427277342
- Entity type
- Individual (NPI-1)
- Name
- Michael Oran Bambico
- Credential
- D.D.S.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Apr 25, 2007
- Last updated
- Dec 28, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | 35593 | CA | Yes |
Practice location
150 N Jackson AveSuite # 103
San Jose, CA 95116-1908
Phone 408-259-1004 · Fax 408-347-1695
Mailing address
4177 Hidden Valley LnSan Jose, CA 95127-2530
Phone 408-923-3850 · Fax 408-347-1695
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