| NPI | 1942370317 |
|---|---|
| Doing Business As | THAI TA, DDS |
| Entity Type | Organization |
| Authorized Contact | THAI THUY TA Secretary 626-337-4440 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics (Licence: CA 45530) |
| Enumeration Date | 2006-11-09 |
| Last Update Date | 2020-08-22 |