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Individual

DR. HENRY R GAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
1685 WESTWOOD DR, #3, SAN JOSE, CA 95125
(408) 265-1303
Mailing address
1685 WESTWOOD DR, #3, SAN JOSE, CA 95125
(408) 265-1303

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
22601
CA

Other

Enumeration date
09/13/2006
Last updated
07/08/2007
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