| Grand Century Dental Center | |
|
1111 Story Rd Ste 1037 San Jose CA 95122 | |
| (408) 999-0480 | |
| (408) 288-8212 |
| Full Name | Grand Century Dental Center |
|---|---|
| Speciality | Dentist |
| Location | 1111 Story Rd, San Jose, California |
| Authorized Official Name and Position | Hung Minh Thai (OWNER) |
| Authorized Official Contact | 4089990480 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Grand Century Dental Center 1111 Story Rd Ste 1037 San Jose CA 95122 Ph: (408) 999-0480 | Grand Century Dental Center 1111 Story Rd Ste 1037 San Jose CA 95122 Ph: (408) 999-0480 |
| NPI Number | 1669542866 |
|---|---|
| Provider Enumeration Date | 11/08/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669542866 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | B44548 (California) | Primary |
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