Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kathleen P Phan, DMD

Individual provider Dentist · NPI 1043044613

Kathleen P Phan, DMD is a Dentist in Los Gatos, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2024
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

14501 S Bascom Ave Ste G
Los Gatos, CA 95032-2003
Phone: (408) 214-6752
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 110051 (CA)

Record details

NPI number1043044613
Entity typeIndividual (Type 1)
GenderFemale
Credentials DMD
Sole proprietorYes
NPI enumeratedAugust 27, 2024
Last updated in NPPESAugust 27, 2024
Certification dateAugust 27, 2024
Mailing address634 True Wind Way Unit 803, Redwood City, CA 94063-5733

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