Individual provider · Type 1 NPI

Katina D. Phan, DH

Dental Hygienist · San Jose, CA

NPI number 1477097046 Active

Practice location

242 La Pala Dr
San Jose, CA 95127-2103

Mailing address

2670 S White Rd, Suite 200
San Jose, CA 95148-2071

Specialties and licenses

TaxonomyCodeLicense
Dental Hygienist Primary 124Q00000X26292 (CA)

Dental Hygienist: An individual who has completed an accredited dental hygiene education program, and an individual who has been licensed by a state board of dental examiners to provide preventive care services under the supervision of a dentist. Functions that may be legally delegated to the dental hygienist vary based on the needs of the dentist, the educational preparation of the dental hygienist and state dental practice acts and…

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About NPI 1477097046

Katina D. Phan, DH's National Provider Identifier is 1477097046, issued on Dec 15, 2016. The primary taxonomy on file is Dental Hygienist (124Q00000X), and the practice location is in San Jose, CA. The record was last updated on Dec 15, 2016.