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Organization
THAI, D.D.S., INC.
Active
Organization
THAI, D.D.S., INC.
Active
Other names
CAPITOL DENTAL GROUP
Organization subpart
No
Provider details
NPI number
Authorized official
MINDI THAI (PRESIDENT)
(408) 406-1005
Entity
Organization
Contact information
Practice address
3124 SENTER RD, SAN JOSE, CA 95111
(408) 227-7264
Mailing address
3124 SENTER RD, SAN JOSE, CA 95111-1257
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
09/17/2018
Last updated
09/17/2018
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