| NPI | 1316143944 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOI PHU PHAN Dentist 408-223-6953 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA B32222) |
| Enumeration Date | 2007-06-21 |
| Last Update Date | 2007-08-16 |