NPI: 1942370317
Provider Name: NGUYEN AND TA PROFESSIONAL DENTAL CORP.
Doing Business As: THAI TA, DDS
Classification: Dentist - 1223P0300X
Entity Type: Organization
Specialization: Periodontics
Address:
1740 W CAMERON AVE STE 106
WEST COVINA, CA
ZIP 91790
Phone: (626) 337-4440
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NGUYEN AND TA PROFESSIONAL DENTAL CORP. is a periodontics dentist in West Covina, CA. The provider is that specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. NGUYEN AND TA PROFESSIONAL DENTAL CORP. NPI is 1942370317. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Thai Ta, Dds.
The provider's business location address is:
1740 W CAMERON AVE STE 106
WEST COVINA, CA
ZIP 91790-719
Phone: (626) 337-4440
Fax: (626) 337-4460
The provider's authorized official is Thai Thuy Ta .
The authorized official title is Secretary and has the following contact phone number (626) 337-4440.
The enumeration date for this NPI number is 11/9/2006 and was last updated on 8/22/2020.