| Dr. Kim Phung, P. C. | |
|
7970 Princevalle St Gilroy CA 95020-5027 | |
| (408) 842-9439 | |
| (408) 842-9475 |
| Full Name | Dr. Kim Phung, P. C. |
|---|---|
| Speciality | Dentist |
| Location | 7970 Princevalle St, Gilroy, California |
| Authorized Official Name and Position | Kim K Phung (CEO) |
| Authorized Official Contact | 4088429439 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr. Kim Phung, P. C. 7970 Princevalle St Gilroy CA 95020-5027 Ph: (408) 842-9439 | Dr. Kim Phung, P. C. 7970 Princevalle St Gilroy CA 95020-5027 Ph: (408) 842-9439 |
| NPI Number | 1609252097 |
|---|---|
| Provider Enumeration Date | 08/07/2015 |
| Last Update Date | 08/07/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609252097 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 45756 (California) | Primary |
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