KELLY THANH DDS, INC
Dentist in San Jose, CA

License number
California 43867
Category
Dentist
Type
Dentist
Owner
Name: KELLY THANH
Title: DENTIST
Phone: (408) 972-2835
Address
Address
414B W. CAPITOL EXPWY, San Jose, CA 95136
National Provider ID: 1568674257
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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KELLY THANH DDS, INC

414 W Capitol Expy, San Jose, CA 95136

Industry:
Dentist's Office
Doing business as:
Kelly Thanh Inc - Kelly Thanh DDS
Registration:
Feb 11, 2002
Phone:
(408) 972-2835 (Phone)
State ID:
C2405349
Family And General Dentistrys:
Thao Thanh Ly Duc (Family And General Dentistry),Kelly Thanh (Family And General Dentistry, Principal),Kelly Thanh Vo Family And General Dentistry, inactive
Agent:
Dds Kelly Vo,San Jose, CA 95136 (Physical)
Categories:
Dentists

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