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Organization
GRAND CENTURY DENTAL CENTER
Active
Organization
GRAND CENTURY DENTAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HUNG MINH THAI DDS (OWNER)
(408) 999-0480
Entity
Organization
Contact information
Practice address
1111 STORY RD, STE 1037, SAN JOSE, CA 95122
(408) 999-0480
(408) 288-8212
Mailing address
1111 STORY RD, STE 1037, SAN JOSE, CA 95122
(408) 999-0480
(408) 288-8212
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
B44548
CA
Other
Enumeration date
11/08/2006
Last updated
08/22/2020
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