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Organization
JEANETTE HUONG THAI, DDS, INC.
Active
Organization
JEANETTE HUONG THAI, DDS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEANETTE HUONG THAI DDS (PRESIDENT)
(949) 837-8482
Entity
Organization
Contact information
Practice address
24432 MUIRLANDS BLVD STE 201, LAKE FOREST, CA 92630-3939
(949) 837-8482
(949) 837-9858
Mailing address
24432 MUIRLANDS BLVD STE 201, LAKE FOREST, CA 92630-3939
(949) 837-8482
(949) 837-9858
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
36015
CA
Other
Enumeration date
08/30/2007
Last updated
02/11/2020
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