Organization
HUY PHAM DENTAL CORP.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HUY PHAM DDS, MSD (CEO, PERIODONTIST)
(408) 386-0936
Entity
Organization
Contact information
Practice address
5150 GRAVES AVE STE 12E, SAN JOSE, CA 95129-5015
(408) 253-4150
(408) 253-1979
Mailing address
1559 NOBU DR, SAN JOSE, CA 95131-3044
(408) 386-0936
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
—
—
Other
Enumeration date
01/11/2022
Last updated
11/14/2022
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