ETHAN THIEN TA

FPO, AP
NPI1376432302
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy122300000X Dentist
(Licence: CA  111703)
Enumeration Date2025-07-02
Last Update Date2026-08-24
Business Address
ETHAN THIEN TA DMD
PSC 475 BOX 1
FPO, AP
Phone number: 315-243-7144
Mailing Address
ETHAN THIEN TA DMD
15290 DUNDEE AVE
APPLE VALLEY, MN 55124-5889
Phone number: 952-649-1301
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