Provider Demographics
NPI:1215175013
Name:VLADESCU, ANCA M (DDS)
Entity type:Individual
Prefix:DR
First Name:ANCA
Middle Name:M
Last Name:VLADESCU
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6501 CROWN BLVD STE 102
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95120-2903
Mailing Address - Country:US
Mailing Address - Phone:408-268-5531
Mailing Address - Fax:408-268-3464
Practice Address - Street 1:6501 CROWN BLVD STE 102
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95120-2903
Practice Address - Country:US
Practice Address - Phone:408-268-5531
Practice Address - Fax:408-268-3464
Is Sole Proprietor?:No
Enumeration Date:2009-02-02
Last Update Date:2009-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA556821223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice