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Individual

BRYAN THIHA SOE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1616 E MAYFAIR AVE, ORANGE, CA 92867-7055
(714) 744-8164
Mailing address
20230 KLINE LN, YORBA LINDA, CA 92887-3269
(714) 337-2561

Taxonomy

Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
33892
CA
124Q00000X
Dental Hygienist

Other

Enumeration date
03/10/2021
Last updated
05/27/2025
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