ETHAN THIEN TA

CAMP PENDLETON, CA
NPI1376432302
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy122300000X Dentist
(Licence: CA  111703)
Enumeration Date2025-07-02
Last Update Date2025-07-02
Business Address
ETHAN THIEN TA DMD
200 MERCY CIRCLE
CAMP PENDLETON, CA 92055
Phone number: 760-725-5870
Mailing Address
ETHAN THIEN TA DMD
4128 RIO AZUL WAY
OCEANSIDE, CA 92057-3554
Phone number: 952-649-1301
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