Organization
TIMOTHY W. GIFFORD, DDS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIMOTHY W. GIFFORD D.D.S. (CEO OWNER)
(408) 578-6400
Entity
Organization
Contact information
Practice address
5595 WINFIELD BLVD, 208, SAN JOSE, CA 95123-1220
(408) 578-6400
(408) 578-0641
Mailing address
5595 WINFIELD BLVD, 208, SAN JOSE, CA 95123-1220
(408) 578-6400
(408) 578-0641
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
50059
CA
Other
Enumeration date
07/18/2006
Last updated
08/22/2020
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