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Organization

BRANDON THAI DDS, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. BRANDON TUAN THAI D.D.S (C.E.O)
(661) 263-6923
Entity
Organization

Contact information

Practice address
28100 BOUQUET CANYON RD, 200, SAUGUS, CA 91350-2005
(661) 263-6923
Mailing address
28100 BOUQUET CANYON RD, 200, SAUGUS, CA 91350-2005
(661) 263-6923

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
49227
CA

Other

Enumeration date
10/11/2007
Last updated
10/11/2007
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