| Royal Dental Practice | |
|
2390 Almaden Rd Ste 20 San Jose CA 95125-2142 | |
| (408) 264-1471 | |
| (408) 264-1581 |
| Full Name | Royal Dental Practice |
|---|---|
| Speciality | Dentist |
| Location | 2390 Almaden Rd Ste 20, San Jose, California |
| Authorized Official Name and Position | Phuongha Le Nguyen (OWNER) |
| Authorized Official Contact | 4082641471 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Royal Dental Practice 2390 Almaden Rd Ste 20 San Jose CA 95125-2142 Ph: (408) 264-1471 | Royal Dental Practice 2390 Almaden Rd Ste 20 San Jose CA 95125-2142 Ph: (408) 264-1471 |
| NPI Number | 1245655232 |
|---|---|
| Provider Enumeration Date | 02/27/2014 |
| Last Update Date | 02/27/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245655232 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 46205 (California) | Primary |
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