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1043044613
KATHLEEN P PHAN
LOS GATOS, CA
NPI
1043044613
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: CA 110051)
Enumeration Date
2024-08-27
Last Update Date
2024-08-27
Business Address
KATHLEEN P PHAN DMD
14501 S BASCOM AVE STE G
LOS GATOS, CA 95032-2003
Phone number: 408-214-6752
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Mailing Address
KATHLEEN P PHAN DMD
634 TRUE WIND WAY UNIT 803
REDWOOD CITY, CA 94063-5733
Phone number: 408-250-1375
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