Individual
THIDA HNIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
865 N ARIZOLA RD, CASA GRANDE, AZ 85122-6011
(520) 836-3446
Mailing address
PO BOX 10097, CASA GRANDE, AZ 85130-0020
(520) 836-3446
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D010829
AZ
390200000X
Student in an Organized Health Care Education/Training Program
—
FL
Other
Enumeration date
04/16/2020
Last updated
06/13/2022
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