Kathleen P Phan, DMD Valid NPI
Individual provider · Dentist · Los Gatos, CA
- NPI
- 1043044613
- Type
- Individual (Type 1)
- Primary specialty
- Dentist
- Specialty group
- Dental Providers
- Taxonomy code
- 122300000X
- License number
- 110051 (CA)
- Sex
- Female
- Sole proprietor
- Yes
- Enumerated
- 2024-08-27
- Last updated
- 2024-08-27
Practice location
14501 S Bascom Ave Ste G
Los Gatos, CA 95032-2003
(408) 214-6752