Organization
CHRISTY H. THAI, D.D.S., INC.
Active
Other names
Lakewood Modern Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTY HA THAI D.D.S. (CEO)
(562) 920-9050
Entity
Organization
Contact information
Practice address
5507 WOODRUFF AVE, LAKEWOOD, CA 90713-1534
(562) 920-9050
(562) 920-9057
Mailing address
5507 WOODRUFF AVE, LAKEWOOD, CA 90713-1534
(562) 920-9050
(562) 920-9057
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
47571
CA
Other
Enumeration date
01/25/2012
Last updated
03/15/2012
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