| Jeanette Huong Thai, Dds, Inc. | |
|
24432 Muirlands Blvd Ste 201 Lake Forest CA 92630-3939 | |
| (949) 837-8482 | |
| (949) 837-9858 |
| Full Name | Jeanette Huong Thai, Dds, Inc. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 24432 Muirlands Blvd Ste 201, Lake Forest, California |
| Authorized Official Name and Position | Jeanette Huong Thai (PRESIDENT) |
| Authorized Official Contact | 9498378482 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jeanette Huong Thai, Dds, Inc. 24432 Muirlands Blvd Ste 201 Lake Forest CA 92630-3939 Ph: (949) 837-8482 | Jeanette Huong Thai, Dds, Inc. 24432 Muirlands Blvd Ste 201 Lake Forest CA 92630-3939 Ph: (949) 837-8482 |
| NPI Number | 1104010396 |
|---|---|
| Provider Enumeration Date | 08/30/2007 |
| Last Update Date | 02/11/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104010396 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 36015 (California) | Primary |
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