Phan, Thoi Phu

Phan, Thoi Phu is an sole proprietor health care provider with primary practice located at 1692 Tully Rd Ste 4, San Jose CA 95122-2549. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Phan, Thoi Phu can be contacted via phone (206) 203-0588.

Contact Information

Primary practice address
1692 Tully Rd Ste 4 San Jose CA 95122-2549
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 32222 California

Profile Details

NPI number 1285601211
LBN Legal business name Phan, Thoi Phu
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 8th, 2006
Last updated Aug 16th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1285601211 NPPES
California Other 32222 CA LIC

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