Individual
DR. CHUONG TRIEU BANH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
10101 N WOLFE RD, CUPERTINO, CA 95014-2507
(408) 873-2020
Mailing address
10101 N WOLFE RD, CUPERTINO, CA 95014-2507
(408) 873-2020
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
13436T
CA
Other
Enumeration date
12/04/2007
Last updated
02/05/2010
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