Pham, Kelly

Pham, Kelly is an individual health care provider with primary practice located at 1211 Meridian Ave , San Jose CA 95125-5210. She recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as her primary health care specialty. Pham, Kelly can be contacted via phone (408) 445-3400.

Contact Information

Primary practice address
1211 Meridian Ave San Jose CA 95125-5210
Phone: (408) 445-3400
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Hygienist 124Q00000X 24883 California

Profile Details

NPI number 1841734126
LBN Legal business name Pham, Kelly
Credentials Registered Dental Hygienist (RDH)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 6th, 2016
Last updated Dec 6th, 2016 - about 10 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 1841734126 NPPES
California Other 124Q00000X DENTAL HYGIENIST

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