MEDICARE: DR. JOSE BRENDO ANGELES CATURAY D.D.S.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	42133	CA

General Provider Information

NPI Number	:	1225056047
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOSE BRENDO ANGELES CATURAY D.D.S.

Provider Business Mailing Address
First Line	:	8 LYCETT CIR
Second Line	:
City	:	DALY CITY
State	:	CA
Zip	:	94015-2866
Country	:	US
Telephone Number	:	650-878-5720
Fax Number	:

Provider Business Practice Location Address
First Line	:	1301 BROADWAY STE 7
Second Line	:
City	:	MILLBRAE
State	:	CA
Zip	:	94030-1336
Country	:	US
Telephone Number	:	650-589-3667
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/18/2006
Last Update Date	:	07/08/2007

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