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PRISTINE DENTAL VU THANH THAI DMD INC. NPI 1023372513


NPI Information

NPI: 1023372513
Provider Name: PRISTINE DENTAL, VU THANH THAI, DMD INC.
Classification: Preferred Provider Organization - 305R00000X
Entity Type: Organization
Address:
3078 UNIVERSITY AVE
SAN DIEGO, CA
ZIP 92104
Phone: (619) 295-8891
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PRISTINE DENTAL, VU THANH THAI, DMD INC. is a preferred provider organization in San Diego, CA. The provider is a group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level. PRISTINE DENTAL, VU THANH THAI, DMD INC. NPI is 1023372513. The provider is registered as an organization entity type.

The provider's business location address is:

3078 UNIVERSITY AVE
SAN DIEGO, CA
ZIP 92104-034
Phone: (619) 295-8891
Fax: (619) 295-8896

The provider's authorized official is Vu Thanh Thai .
The authorized official title is President and has the following contact phone number (619) 295-8891.

The enumeration date for this NPI number is 6/28/2012 and was last updated on 6/28/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1305R00000XPreferred Provider Organization56058CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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