DR. Kou Thao, D.D.S.

NPI #1306246657 in Minneapolis, Minnesota

Provider Information

NPI Number: 1306246657
Entity Type: Individual
Name: DR. Kou Thao, D.D.S.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: D.D.S.
Enumeration Date: Aug 22, 2014
Last Updated: Mar 2, 2015

Practice Location

Address: 636 BROADWAY ST NE
City: Minneapolis
State: Minnesota
ZIP Code: 55413-2164
Phone: (612) 746-1530

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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