Provider Demographics
NPI:1538299318
Name:GABRIEL CANO DDS, A DENTAL CORP
Entity Type:Organization
Organization Name:GABRIEL CANO DDS, A DENTAL CORP
Other - Org Name:SILICON VALLEY CENTER FOR COSMETIC DENTISTRY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:GABRIEL
Authorized Official - Middle Name:
Authorized Official - Last Name:CANO
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:408-739-9047
Mailing Address - Street 1:1565 HOLLENBECK AVE
Mailing Address - Street 2:SUITE 112
Mailing Address - City:SUNNYVALE
Mailing Address - State:CA
Mailing Address - Zip Code:94087-5922
Mailing Address - Country:US
Mailing Address - Phone:408-739-9047
Mailing Address - Fax:408-739-9092
Practice Address - Street 1:1565 HOLLENBECK AVE
Practice Address - Street 2:SUITE 112
Practice Address - City:SUNNYVALE
Practice Address - State:CA
Practice Address - Zip Code:94087-5922
Practice Address - Country:US
Practice Address - Phone:408-739-9047
Practice Address - Fax:408-739-9092
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-07
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA456571223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty