| Jimmy Cham DDS a Professional Corporation | |
|
2139 Tully Rd San Jose CA 95122-1346 | |
| (408) 259-5660 | |
| Not Available |
| Full Name | Jimmy Cham DDS a Professional Corporation |
|---|---|
| Speciality | Dentist |
| Location | 2139 Tully Rd, San Jose, California |
| Authorized Official Name and Position | Jimmy Cham (PRESIDENT) |
| Authorized Official Contact | 4082595660 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jimmy Cham DDS a Professional Corporation 2139 Tully Rd San Jose CA 95122-1346 Ph: (408) 259-5660 | Jimmy Cham DDS a Professional Corporation 2139 Tully Rd San Jose CA 95122-1346 Ph: (408) 259-5660 |
| NPI Number | 1104027614 |
|---|---|
| Provider Enumeration Date | 05/31/2007 |
| Last Update Date | 03/16/2020 |
| Certification Date | 03/16/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104027614 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 37088 (California) | Primary |
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