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JOSE ANTONIO ACOSTA-CUEVAS D.D.S.

General Practice >> Dentist >> Dental Providers

Registrant NPI Number: 1700917986

Individual Registrant:
 JOSE ANTONIO ACOSTA-CUEVAS D.D.S.
Gender: M
Sole Proprietor

Location and contact information for practice:
9340 W STOCKTON BLVD STE 100  ELK GROVE, CA 95758-8014 US
Tel: 916-683-3775  Fax: 916-683-3164

Contact information for business:
10232 STATHOS DR  ELK GROVE, CA 95757-5995 US
Tel: 916-625-4966  Fax: 916-685-5619

Registration Information:
NPI: 1700917986
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y1223G0001XDental Providers
Dentist
General Practice
CAD50555

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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