# DUONG BICH HAI THI

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

## Provider details

- **NPI number:** 1962616052
- **Authorized official:** MRS. BICH HAI THI DUONG DDS (DENTIST)
- **Authorized official phone:** (408) 286-3240

## Contact information

- **Practice address:** 29 S 13TH STREET, SAN JOSE, CA 95112
- **Practice address phone:** (408) 286-3240
- **Practice address fax:** (408) 292-2956
- **Mailing address:** 29 S 13TH STREET, SAN JOSE, CA 95112
- **Mailing address phone:** (408) 286-3240
- **Mailing address fax:** (408) 292-2956

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 32063 | CA | Yes |

## Other

- **Enumeration date:** 05/09/2007
- **Last updated:** 08/22/2020