Individual
DR. PAUL HUYPHUOC THAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
18315 CASCADE DR STE 120, EDEN PRAIRIE, MN 55347-1190
(952) 949-2536
Mailing address
408 GRIFFIT ST, HOPKINS, MN 55343-8411
(612) 298-4928
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D11301
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
687684600
—
MN
Enumeration date
12/08/2006
Last updated
07/21/2022
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