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Organization

QUYNH-THU THAI, D.D.S., A PROF. CORP.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. QUYNH-THU THAI D.D.S. (PRESIDENT)
(760) 723-8599
Entity
Organization

Contact information

Practice address
855 S MAIN AVE, SUITE J, FALLBROOK, CA 92028-3351
(760) 723-8599
(760) 723-6289
Mailing address
855 S MAIN AVE, SUITE J, FALLBROOK, CA 92028-3351
(760) 723-8599
(760) 723-6289

Taxonomy

Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
37372
CA

Other

Enumeration date
08/12/2007
Last updated
08/12/2007
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