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Organization
LOC B PHAM DDS & TRACY T NGUYEN DDS PROFESSIONAL CORP
Active
Organization
LOC B PHAM DDS & TRACY T NGUYEN DDS PROFESSIONAL CORP
Active
Other names
TK Dental Practice
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LOC B PHAM DDS (DENTIST SECER SECRETARY)
(408) 251-0118
Entity
Organization
Contact information
Practice address
2344 MCKEE ROAD, SUITE 50, SAN JOSE, CA 95116-1616
(408) 251-0118
(408) 251-0119
Mailing address
2344 MCKEE ROAD, SUITE 50, SAN JOSE, CA 95116-1616
(408) 251-0118
(408) 251-0119
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
46508
CA
1223G0001X
General Practice Dentistry
Primary
46515
CA
Other
Enumeration date
10/04/2006
Last updated
08/22/2020
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