Individual
THANH HA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
5897 STEWART PKWY, DOUGLASVILLE, GA 30135-2373
(770) 949-1821
Mailing address
5897 STEWART PKWY, DOUGLASVILLE, GA 30135-2373
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN015815
GA
Other
Enumeration date
05/03/2018
Last updated
12/06/2022
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