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1003953563
THAI THUY TA
WEST COVINA, CA
NPI
1003953563
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1223P0300X Dentist, Periodontics
(Licence: CA 45530)
Enumeration Date
2007-01-31
Last Update Date
2007-07-08
Business Address
-- THAI THUY TA D.D.S.
1740 W CAMERON AVE STE 106
WEST COVINA, CA 91790-2719
Phone number: 626-337-4440
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Mailing Address
-- THAI THUY TA D.D.S.
1740 W CAMERON AVE STE 106
WEST COVINA, CA 91790-2719
Phone number: 626-337-4440
Copy
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