# TUONGTHUY P HA DDS

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1417512278
- **Authorized official:** TUONGTHUY PHU HA DDS (OWNER)
- **Authorized official phone:** (213) 248-4503

## Contact information

- **Practice address:** 1959 E 4TH ST, LONG BEACH, CA 90802-3816
- **Practice address phone:** (562) 432-9883
- **Mailing address:** 1959 E 4TH ST, LONG BEACH, CA 90802-3816
- **Mailing address phone:** (562) 432-9883
- **Mailing address fax:** (562) 684-0302

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | NULL | — |
| 122300000X | Dentist | — | — | — |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | NULL | Yes |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | — | Yes |

## Other

- **Enumeration date:** 05/07/2019
- **Last updated:** 05/07/2019