KIM KHUE THI PHUNG D.D.S - NPI 1679627665

Q: What is the provider's specialty?

The provider's specialty is Dentist with taxonomy code 1223G0001X and a focus in General Practice.

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About Kim Khue Thi Phung D.d.s NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KIM KHUE THI PHUNG D.D.S (NPI 1679627665) is an individual general practice provider in Gilroy, California, licensed in California (45756) and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1679627665

Entity TypeIndividualFemale

Primary Taxonomy1223G0001X

Provider Legal NameKIM KHUE THI PHUNGCredential: D.D.S

Location Address220 E 10TH ST, #KGilroy, CA 95020-6580

Mailing Address220 E 10th St, #kGilroy, CA 95020-6580 · (408) 842-9439 · Fax (408) 842-9475

Phone(408) 842-9439

Fax(408) 842-9475

Sole ProprietorYes

Enumeration DateJanuary 23, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1679627665 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in CA · 45756

Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

220 E 10TH ST, Gilroy, CA 95020

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Frequently Asked Questions

What is Kim Khue Phung's NPI number?

The NPI number assigned to this healthcare provider is 1679627665, enumerated as an "individual" on January 23, 2007.

Where is the provider located?

The provider is located at 220 E 10TH ST #K GILROY, CA 95020 and the phone number is (408) 842-9439.

What is the provider's specialty?

Dentist with taxonomy code 1223G0001X and a focus in General Practice.