Provider Demographics
NPI:1063624708
Name:SILVIE THU-HIEN QUACH, D.D.S., A PROFESSIONAL CORPORATION
Entity type:Organization
Organization Name:SILVIE THU-HIEN QUACH, D.D.S., A PROFESSIONAL CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:SILVIE
Authorized Official - Middle Name:THU-HIEN
Authorized Official - Last Name:QUACH
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:510-965-9000
Mailing Address - Street 1:88 WEST TULLY RD.
Mailing Address - Street 2:103
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95111
Mailing Address - Country:US
Mailing Address - Phone:510-965-9000
Mailing Address - Fax:510-965-9009
Practice Address - Street 1:404 SAN PABLO TOWNE CTR
Practice Address - Street 2:
Practice Address - City:SAN PABLO
Practice Address - State:CA
Practice Address - Zip Code:94806-3933
Practice Address - Country:US
Practice Address - Phone:510-965-9000
Practice Address - Fax:510-965-9009
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-04
Last Update Date:2008-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA43065122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Multi-Specialty