Organization
DR. KIM PHUNG, P. C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIM K PHUNG D.D.S (CEO)
(408) 842-9439
Entity
Organization
Contact information
Practice address
7970 PRINCEVALLE ST, GILROY, CA 95020-5027
(408) 842-9439
(408) 842-9475
Mailing address
7970 PRINCEVALLE ST, GILROY, CA 95020-5027
(408) 842-9439
(408) 842-9475
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
45756
CA
Other
Enumeration date
08/07/2015
Last updated
08/07/2015
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