KIM KHUE THI PHUNG

GILROY, CA
NPI1679627665
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist General Practice
(Licence: CA  45756)
Enumeration Date2007-01-23
Last Update Date2007-07-08
Business Address
KIM KHUE THI PHUNG D.D.S
220 E 10TH ST #K
GILROY, CA 95020-6580
Phone number: 408-842-9439
Mailing Address
KIM KHUE THI PHUNG D.D.S
220 E 10TH ST #K
GILROY, CA 95020-6580
Phone number: 408-842-9439