1692 TULLY DENTISTRY

SAN JOSE, CA
NPI1649406133
Entity TypeOrganization
Authorized ContactPHUNG KIM NGUYEN
Dentist
408-279-2114
Organization Subpart ?No
Primary Taxonomy122300000X Dentist
(Licence: CA  44749)
Enumeration Date2009-06-10
Last Update Date2009-06-10
Business Address
1692 TULLY DENTISTRY
2114 SENIOR ROAD SUITE 25
SAN JOSE, CA 95112
Phone number: 408-279-2114
Mailing Address
1692 TULLY DENTISTRY
1692 TULLY ROAD #4
SAN JOSE, CA 95122
Phone number: 408-223-6953
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