| Thai Dental Corporation | |
|
34400 Fremont Blvd Ste C Fremont CA 94555-3322 | |
| (510) 790-8088 | |
| (510) 790-8098 |
| Full Name | Thai Dental Corporation |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 34400 Fremont Blvd Ste C, Fremont, California |
| Authorized Official Name and Position | Peter Thai (PRESIDENT) |
| Authorized Official Contact | 5107908088 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Thai Dental Corporation 34400 Fremont Blvd Ste #c Fremont CA 94555-3322 Ph: (510) 790-8088 | Thai Dental Corporation 34400 Fremont Blvd Ste C Fremont CA 94555-3322 Ph: (510) 790-8088 |
| NPI Number | 1134291057 |
|---|---|
| Provider Enumeration Date | 11/15/2006 |
| Last Update Date | 06/01/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134291057 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 44579 (California) | Secondary |
| 1223G0001X | Dentist - General Practice | 44632 (California) | Primary |
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