Individual
DR. CUONG TONTHAT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
56 N 13TH ST, STE. 102, SAN JOSE, CA 95112-3438
(408) 295-2530
Mailing address
56 N 13TH ST, STE. 102, SAN JOSE, CA 95112-3438
(408) 295-2530
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
45206
CA
Other
Enumeration date
01/12/2007
Last updated
07/08/2007
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