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Individual
EMILY THAI
Active
Individual
EMILY THAI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
102523
CA
1223G0001X
General Practice Dentistry
Primary
102523
CA
Other
Enumeration date
06/22/2018
Last updated
06/22/2018
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