| Chic Dental Care | |
|
5278 Monterey Hwy Suite 10 San Jose CA 95111-4268 | |
| (408) 362-9622 | |
| (408) 362-9633 |
| Full Name | Chic Dental Care |
|---|---|
| Speciality | Dentist |
| Location | 5278 Monterey Hwy, San Jose, California |
| Authorized Official Name and Position | Pauline Phuong Nguyen (OWNER) |
| Authorized Official Contact | 4083629622 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Chic Dental Care 5278 Monterey Hwy Suite 10 San Jose CA 95111-4268 Ph: (408) 362-9622 | Chic Dental Care 5278 Monterey Hwy Suite 10 San Jose CA 95111-4268 Ph: (408) 362-9622 |
| NPI Number | 1023229747 |
|---|---|
| Provider Enumeration Date | 05/24/2007 |
| Last Update Date | 07/08/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023229747 | NPI | - | NPPES |
| B47143-01 | Other | CA | HEALTHY FAMILY |
| G92526-01 | Other | CA | DENTI-CAL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 47143 (California) | Primary |
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