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Organization
SAN JOSE DENTAL SURGERY CENTER, INC.
Active
Organization
SAN JOSE DENTAL SURGERY CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KHAM NGUYEN DDS (VICE PRESIDENT)
(408) 240-9000
Entity
Organization
Contact information
Practice address
2048 STORY RD, SAN JOSE, CA 95122-1668
(408) 240-9000
Mailing address
2048 STORY RD, SAN JOSE, CA 95122-1668
(408) 240-9000
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
D52747
CA
261QD0000X
Dental Clinic/Center
D52747
CA
Other
Enumeration date
11/09/2007
Last updated
04/05/2025
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