1692 Tully Dentistry
1692 Tully Dentistry is a Dentist in San Jose, California. Licensed in California. Registered with an NPI since 2009.
- Licensed in
- CA
- In the registry since
- 2009
Practice location Address checks out
2114 Senior Rd Ste 25San Jose, CA 95112
Phone: (408) 279-2114
Fax: (408) 279-1828
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Dentist (primary) | Taxonomy 122300000X · Licence 44749 (CA) |
|---|
Record details
| NPI number | 1649406133 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Phung Nguyen — Dentist · (408) 279-2114 |
| NPI enumerated | June 10, 2009 |
| Last updated in NPPES | June 10, 2009 |
| Mailing address | 1692 Tully Road, 4, San Jose, CA 95122 |
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