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1477097046
KATINA D. PHAN
SAN JOSE, CA
NPI
1477097046
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
124Q00000X Dental Hygienist
(Licence: CA 26292)
Enumeration Date
2016-12-15
Last Update Date
2016-12-15
Business Address
KATINA D. PHAN DH
242 LA PALA DR
SAN JOSE, CA 95127-2103
Phone number: 669-900-0030
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Mailing Address
KATINA D. PHAN DH
2670 S WHITE RD SUITE 200
SAN JOSE, CA 95148-2071
Phone number: 408-729-4290
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