Provider Demographics
NPI:1598975666
Name:PADLAN, HERMENEGILDO GAYAS JR (DDS)
Entity Type:Individual
Prefix:DR
First Name:HERMENEGILDO
Middle Name:GAYAS
Last Name:PADLAN
Suffix:JR
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 1:40 S ABBOTT AVE
Mailing Address - Street 2:
Mailing Address - City:MILPITAS
Mailing Address - State:CA
Mailing Address - Zip Code:95035-4802
Mailing Address - Country:US
Mailing Address - Phone:408-942-8773
Mailing Address - Fax:408-935-8875
Practice Address - Street 1:40 S ABBOTT AVE
Practice Address - Street 2:
Practice Address - City:MILPITAS
Practice Address - State:CA
Practice Address - Zip Code:95035-4802
Practice Address - Country:US
Practice Address - Phone:408-942-8773
Practice Address - Fax:408-935-8875
Is Sole Proprietor?:No
Enumeration Date:2007-05-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA45746122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist