| Huy Pham Dental Corp. | |
|
5150 Graves Ave Ste 12e San Jose CA 95129-5015 | |
| (408) 253-4150 | |
| (408) 253-1979 |
| Full Name | Huy Pham Dental Corp. |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 5150 Graves Ave Ste 12e, San Jose, California |
| Authorized Official Name and Position | Huy Pham (CEO, PERIODONTIST) |
| Authorized Official Contact | 4083860936 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Huy Pham Dental Corp. 1559 Nobu Dr San Jose CA 95131-3044 Ph: (408) 386-0936 | Huy Pham Dental Corp. 5150 Graves Ave Ste 12e San Jose CA 95129-5015 Ph: (408) 253-4150 |
| NPI Number | 1528719556 |
|---|---|
| Provider Enumeration Date | 01/11/2022 |
| Last Update Date | 11/14/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528719556 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | (* (Not Available)) | Primary |
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