| Sandy Dental Pc | |
|
1672 Mckee Rd San Jose CA 95116-1235 | |
| (408) 272-3999 | |
| (408) 272-2202 |
| Full Name | Sandy Dental Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1672 Mckee Rd, San Jose, California |
| Authorized Official Name and Position | Khiet Minh Tran (PRESIDENT) |
| Authorized Official Contact | 4082723999 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sandy Dental Pc 1672 Mckee Rd San Jose CA 95116-1235 Ph: (408) 272-3999 | Sandy Dental Pc 1672 Mckee Rd San Jose CA 95116-1235 Ph: (408) 272-3999 |
| NPI Number | 1093858870 |
|---|---|
| Provider Enumeration Date | 02/14/2007 |
| Last Update Date | 06/26/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093858870 | NPI | - | NPPES |
| G91680-01 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 39846 (California) | Primary |
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