Provider Demographics
NPI:1225056047
Name:CATURAY, JOSE BRENDO ANGELES (DDS)
Entity Type:Individual
Prefix:DR
First Name:JOSE
Middle Name:BRENDO ANGELES
Last Name:CATURAY
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8 LYCETT CIR
Mailing Address - Street 2:
Mailing Address - City:DALY CITY
Mailing Address - State:CA
Mailing Address - Zip Code:94015-2866
Mailing Address - Country:US
Mailing Address - Phone:650-878-5720
Mailing Address - Fax:
Practice Address - Street 1:1301 BROADWAY STE 7
Practice Address - Street 2:
Practice Address - City:MILLBRAE
Practice Address - State:CA
Practice Address - Zip Code:94030-1336
Practice Address - Country:US
Practice Address - Phone:650-589-3667
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA421331223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice