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Organization
THOI PHU PHAN, DDS
Active
Organization
THOI PHU PHAN, DDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOI PHU PHAN DDS (DENTIST)
(408) 223-6953
Entity
Organization
Contact information
Practice address
1692 TULLY RD, STE #4, SAN JOSE, CA 95122-2549
(408) 223-6953
Mailing address
1692 TULLY RD, STE #4, SAN JOSE, CA 95122-2549
(408) 223-6953
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
32222
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
32222
CA LIC
CA
Enumeration date
06/25/2007
Last updated
08/13/2007
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