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1700081528
VICHETH THAY
NORTHRIDGE, CA
NPI
1700081528
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: CA 46531)
Enumeration Date
2007-06-20
Last Update Date
2007-07-08
Business Address
Dr. VICHETH THAY D.D.S.
18250 ROSCOE BLVD STE 230
NORTHRIDGE, CA 91325-4269
Phone number: 818-885-1981
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Mailing Address
Dr. VICHETH THAY D.D.S.
18250 ROSCOE BLVD STE 230
NORTHRIDGE, CA 91325-4269
Phone number: 818-885-1981
Copy
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