Hung Thai Dental Corp | |
1315 S Winchester Blvd San Jose CA 95128-4320 | |
(408) 866-1819 | |
(408) 866-6675 |
Full Name | Hung Thai Dental Corp |
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Speciality | Dentist |
Location | 1315 S Winchester Blvd, San Jose, California |
Authorized Official Name and Position | Hung Thai (DENTIST) |
Authorized Official Contact | 4088661819 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Hung Thai Dental Corp 1315 S Winchester Blvd San Jose CA 95128-4320 Ph: (408) 866-1819 | Hung Thai Dental Corp 1315 S Winchester Blvd San Jose CA 95128-4320 Ph: (408) 866-1819 |
NPI Number | 1932316270 |
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Provider Enumeration Date | 05/17/2007 |
Last Update Date | 06/23/2015 |
Identifier | Type | State | Issuer |
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1932316270 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | (* (Not Available)) | Primary |
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