| Vicheth Thay, DDS, Inc. | |
|
18250 Roscoe Blvd Ste 230 Northridge CA 91325-4269 | |
| (818) 885-1981 | |
| (818) 885-1937 |
| Full Name | Vicheth Thay, DDS, Inc. |
|---|---|
| Speciality | Dentist |
| Location | 18250 Roscoe Blvd Ste 230, Northridge, California |
| Authorized Official Name and Position | Vicheth Thay (DENTIST) |
| Authorized Official Contact | 8188851981 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Vicheth Thay, DDS, Inc. 18250 Roscoe Blvd Ste 230 Northridge CA 91325-4269 Ph: (818) 885-1981 | Vicheth Thay, DDS, Inc. 18250 Roscoe Blvd Ste 230 Northridge CA 91325-4269 Ph: (818) 885-1981 |
| NPI Number | 1124224779 |
|---|---|
| Provider Enumeration Date | 06/21/2007 |
| Last Update Date | 07/05/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124224779 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 46531 (California) | Primary |
Gentle Touch Dental Group Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 8363 Reseda Blvd, 11, Northridge, CA 91324 Phone: 818-882-0009 Fax: 818-882-0011 |
Lee R. Logan, D.D.S., Prof. Corp. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 18250 Roscoe Blvd, Suite #315, Northridge, CA 91325 Phone: 818-885-8650 Fax: 818-885-7169 |
Sorour D.m.d P,c Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 18450 Dearborn St, Northridge, CA 91325 Phone: 818-736-9339 |
Arthur F. Koebel DDS a Professional Corp. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 18911 Nordhoff St, Suite 35, Northridge, CA 91324 Phone: 818-701-5126 Fax: 818-701-5279 |
Rebecca Lee, D.D.S., a Dental Corporation Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 11200 Corbin Ave, Suite 108, Northridge, CA 91326 Phone: 818-831-8252 Fax: 818-831-8255 |
Northridge Advanced Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 8954 Reseda Blvd #100, Northridge, CA 91324 Phone: 818-701-3010 Fax: 818-701-0115 |