Thai Thuy Ta, D.D.S.
NPI #1003953563 in West Covina, California
Provider Information
- NPI Number
- 1003953563
- Entity Type
- Individual
- Name
- Thai Thuy Ta, D.D.S.
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist - Periodontics
- Credential
- D.D.S.
- Enumeration Date
- Jan 31, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 1740 W CAMERON AVE STE 106
- City
- West Covina
- State
- California
- ZIP Code
- 91790-2719
- Phone
- (626) 337-4440
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Periodontics — Periodontics |
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