Individual
MS. VAN THANH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
827 BLOSSOM HILL RD STE W7, SAN JOSE, CA 95123-2701
(408) 707-8894
Mailing address
216 LAUMER AVE, SAN JOSE, CA 95127-2432
(408) 707-8894
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
33920
CA
Other
Enumeration date
07/11/2021
Last updated
08/09/2021
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