Individual
ANN TRUONG THAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
2708 CLEMSON RD STE A, COLUMBIA, SC 29229-8264
(803) 830-5972
Mailing address
122 ELDON DR, CAYCE, SC 29033-2756
(864) 593-0900
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
10511
SC
Other
Enumeration date
06/15/2023
Last updated
06/15/2023
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