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Organization
THAI DENTAL CORPORATION
Active
Organization
THAI DENTAL CORPORATION
Active
Other names
Evergreen Hills Dental Group
Organization subpart
No
Provider details
NPI number
Authorized official
MINDI THAI DDS (PRESIDENT)
(408) 274-9988
Entity
Organization
Contact information
Practice address
5645 SILVER CREEK VALLEY RD, SUITE 220, SAN JOSE, CA 95138-2474
(408) 274-9988
(408) 841-9714
Mailing address
5645 SILVER CREEK VALLEY RD, SUITE 220, SAN JOSE, CA 95138-2474
(408) 274-9988
(408) 841-9714
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
49010
CA
Other
Enumeration date
03/06/2013
Last updated
03/06/2013
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