Organization
T C MODY DDS, INC
Active
Other names
Tiffany Chan, DDS
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIFFANY CHAN MODY DDS (PRESIDENT)
(408) 248-4426
Entity
Organization
Contact information
Practice address
920 N BASCOM AVE, SAN JOSE, CA 95128-1400
(408) 248-4426
Mailing address
920 N BASCOM AVE, SAN JOSE, CA 95128-1400
(408) 248-4426
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
09/17/2019
Last updated
12/03/2024
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