Kathleen P Phan, DMD

NPI #1043044613 in Los Gatos, California

Provider Information

NPI Number: 1043044613
Entity Type: Individual
Name: Kathleen P Phan, DMD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: DMD
Enumeration Date: Aug 27, 2024
Last Updated: Aug 27, 2024

Practice Location

Address: 14501 S BASCOM AVE STE G
City: Los Gatos
State: California
ZIP Code: 95032-2003
Phone: (408) 214-6752

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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