MIKHAI CONG TA

PARADISE, CA
NPI1316950926
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy122300000X Dentist
(Licence: CA  102306)
Additional Taxonomies122300000X Dentist
(Licence: WA  10476)
Enumeration Date2006-08-14
Last Update Date2018-10-03
Business Address
MIKHAI CONG TA DDS
5734 CANYON VIEW DR
PARADISE, CA 95969-5503
Phone number: 530-876-7179
Mailing Address
MIKHAI CONG TA DDS
5734 CANYON VIEW DR
PARADISE, CA 95969-5503
Phone number:
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