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1692 Tully Dentistry — NPI 1649406133, San Jose, CA | NPI Central

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NPI 1649406133

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1692 Tully Dentistry

NPI 1649406133 · Dentist · San Jose, CA

Provider details

NPI number: 1649406133
Entity type: Organization
Primary specialty: DentistDental Providers
Authorized official: Phung Nguyen, Dentist
License: 44749 (CA)

Practice location

2114 Senior Road

Suite 25

San Jose, CA 95112

Phone: (408) 279-2114

Fax: (408) 279-1828

More CA providers

Mailing address

1692 Tully Road

San Jose, CA 95122

Registry dates

Enumerated: 2009-06-10
Last updated: 2009-06-10

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.