Individual
TIMOTHY W. GIFFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
5595 WINFIELD BLVD STE 208, SAN JOSE, CA 95123-1220
(408) 578-6400
(408) 578-0641
Mailing address
5595 WINFIELD BLVD STE 208, SAN JOSE, CA 95123-1220
(408) 578-6400
(408) 578-0641
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
50059
CA
Other
Enumeration date
01/07/2008
Last updated
01/07/2008
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