Vicheth Thay D.D.S.

NPI 1700081528 - Dentist - 122300000X

NPI Details
NPI 1700081528
Gender Male
Enumeration Date 06/20/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
18250 ROSCOE BLVD STE 230
NORTHRIDGE CA, 91325-4269, US
Phone (818) 885-1981
Fax (818) 885-1937
Business Location
18250 ROSCOE BLVD STE 230
NORTHRIDGE CA, 91325-4269, US
Phone (818) 885-1981
Fax (818) 885-1937
Toxanomy
Taxonomy Code 122300000X
License State California
License Number 46531
Remove 1700081528 NPI Number
 

According to our database, Dr. Vicheth Thay D.D.S. NPI is 1700081528, taxonomy code is 122300000X and license number is 46531, license state is located at California. Vicheth Thay D.D.S. physically located at 18250 Roscoe Blvd Ste 230, Northridge CA, 91325-4269. NPI Number Vicheth Thay D.D.S. has the Individual type.

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1700081528 NPI number is provided on an as is basis without warranty of any kind. 1700081528 is maintained by the National Plan & Provider Enumeration System. The contents of Vicheth Thay D.D.S. are for informational purposes only.