# DR. KIM PHUNG, P. C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1609252097
- **Authorized official:** KIM K PHUNG D.D.S (CEO)
- **Authorized official phone:** (408) 842-9439

## Contact information

- **Practice address:** 7970 PRINCEVALLE ST, GILROY, CA 95020-5027
- **Practice address phone:** (408) 842-9439
- **Practice address fax:** (408) 842-9475
- **Mailing address:** 7970 PRINCEVALLE ST, GILROY, CA 95020-5027
- **Mailing address phone:** (408) 842-9439
- **Mailing address fax:** (408) 842-9475

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 45756 | CA | Yes |

## Other

- **Enumeration date:** 08/07/2015
- **Last updated:** 08/07/2015