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Organization
THAI DENTAL CORPORATION
Active
Organization
THAI DENTAL CORPORATION
Active
Other names
DBA United Dental Group
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PETER THAI DDS (PRESIDENT)
(510) 790-8088
Entity
Organization
Contact information
Practice address
34400 FREMONT BLVD STE C, FREMONT, CA 94555-3322
(510) 790-8088
(510) 790-8098
Mailing address
34400 FREMONT BLVD STE #C, FREMONT, CA 94555-3322
(510) 790-8088
(510) 790-8098
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
44579
CA
1223G0001X
General Practice Dentistry
Primary
44632
CA
Other
Enumeration date
11/15/2006
Last updated
06/01/2015
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