Spencer Hiura, DDS
Dentist, General Practice in San Jose, CA. Individual provider (NPI-1).
NPI number1770001554
StatusActive
Last updated in NPPESAug 31, 2017
Details
- NPI
- 1770001554
- Entity type
- Individual (NPI-1)
- Name
- Spencer Hiura
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Aug 31, 2017
- Last updated
- Aug 31, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 101766 | CA | Yes |
Practice location
3151 S White Rd Ste 211San Jose, CA 95148-4045
Phone 408-646-1420 · Fax 408-646-1420
Mailing address
1376 Box Canyon RdSan Jose, CA 95120-5627
Phone 408-646-1420
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