DR. Thavisab Noy Hatlavongsa, D.D.S.
NPI #1265655229 in Sun City, California
Provider Information
- NPI Number
- 1265655229
- Entity Type
- Individual
- Name
- DR. Thavisab Noy Hatlavongsa, D.D.S.
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist - General Practice
- Credential
- D.D.S.
- Enumeration Date
- Apr 10, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 29798 HAUN RD STE 306
- City
- Sun City
- State
- California
- ZIP Code
- 92586-6542
- Phone
- (951) 672-0717
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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