Individual
RICHARD S ENG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2360 MCKEE RD, SAN JOSE, CA 95116-1618
(408) 923-1010
(408) 923-2267
Mailing address
2360 MCKEE RD, SAN JOSE, CA 95116-1618
(408) 923-1010
(408) 923-2267
Taxonomy
Speciality
Code
Description
License number
State
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
G42226
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G422260
—
CA
Enumeration date
09/06/2005
Last updated
11/01/2011
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