Kim Khue Thi Phung, D.D.S

NPI #1679627665 in Gilroy, California

Provider Information

NPI Number
1679627665
Entity Type
Individual
Name
Kim Khue Thi Phung, D.D.S
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dentist - General Practice
Credential
D.D.S
Enumeration Date
Jan 23, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
220 E 10TH ST
Address 2
#K
City
Gilroy
ZIP Code
95020-6580
Phone
(408) 842-9439

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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