Organization
CHAU MY PHAN, D.D.S., PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHAU PHAN DDS (PRESIDENT)
(408) 258-1901
Entity
Organization
Contact information
Practice address
4600 ALUM ROCK AVE STE 6, SAN JOSE, CA 95127-2463
(408) 258-1901
Mailing address
4600 ALUM ROCK AVE STE 6, SAN JOSE, CA 95127-2463
(408) 258-1901
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
50971
CA
Other
Enumeration date
10/09/2015
Last updated
04/22/2016
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