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
Phone: (206) 203-0588
Fax:
Website:
Health care specialties
| Specialty | Code | License # | 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 19 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1285601211 | NPPES |
| California | Other | 32222 | CA LIC |
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