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Organization
DUNG AND CHAU PHAN DENTAL CORP.
Active
Organization
DUNG AND CHAU PHAN DENTAL CORP.
Active
Other names
V-MEX DENTAL
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHAU MY PHAN D.D.S (CEO/PRESIDENT)
(408) 937-5058
Entity
Organization
Contact information
Practice address
2820 ALUM ROCK AVE STE 30, SAN JOSE, CA 95127-5608
(408) 937-5058
(408) 937-1309
Mailing address
2820 ALUM ROCK AVE STE 30, SAN JOSE, CA 95127-5608
(408) 937-5058
(408) 937-1309
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
G9348101
—
CA
Enumeration date
07/11/2007
Last updated
06/20/2008
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