Organization
PRISTINE DENTAL, VU THANH THAI, DMD INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VU THANH THAI DMD (PRESIDENT)
(619) 295-8891
Entity
Organization
Contact information
Practice address
3078 UNIVERSITY AVE, SAN DIEGO, CA 92104-3034
(619) 295-8891
(619) 295-8896
Mailing address
3078 UNIVERSITY AVE, SAN DIEGO, CA 92104-3034
(619) 295-8891
(619) 295-8896
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
56058
CA
Other
Enumeration date
06/28/2012
Last updated
06/28/2012
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