Individual
MINH J THAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1400 GROVE ST, DENVER, CO 80204-2229
(303) 825-2295
Mailing address
201 W 8TH ST, SUITE 810, PUEBLO, CO 81003-3038
(719) 562-4447
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DEN-8430
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06457347
—
CO
01
—
1875050
UNITED CONCORDIA
CO
Enumeration date
01/08/2007
Last updated
12/29/2010
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