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Organization
HUY THAN, DDS, INC
Active
Organization
HUY THAN, DDS, INC
Active
Other names
Friendly Smile Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HUY TRONG THAN DDS (PRESIDENT)
(714) 972-2801
Entity
Organization
Contact information
Practice address
1521 N BROADWAY, SANTA ANA, CA 92706-3906
(714) 972-2801
Mailing address
1521 N BROADWAY, SANTA ANA, CA 92706-3906
(714) 972-2801
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
54589
CA
Other
Enumeration date
06/03/2008
Last updated
06/04/2008
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