Individual
THUAN C LOI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
19 E GENESEE ST, AUBURN, NY 13021-4058
(315) 253-8408
(315) 258-8136
Mailing address
19 E GENESEE ST, AUBURN, NY 13021-4058
(315) 253-8408
(315) 258-8136
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
049226
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02656779
—
NY
Enumeration date
07/22/2006
Last updated
07/08/2007
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