Individual
DR. KHANH C THAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
1 WHEATLEY BLVD BLDG K, MULLICA HILL, NJ 08062-9622
(856) 223-0041
(856) 223-0020
Mailing address
5 BITTERN CT, VOORHEES, NJ 08043-1633
(609) 706-1161
(856) 489-0844
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
22DI01848900
NJ
Other
Enumeration date
08/31/2006
Last updated
05/26/2009
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