Tuan Thai, DMD Valid NPI
Individual provider · General Practice Dentistry · Bridgeton, MO
- NPI
- 1073175790
- Type
- Individual (Type 1)
- Primary specialty
- General Practice Dentistry (Dentist)
- Specialty group
- Dental Providers
- Taxonomy code
- 1223G0001X
- License number
- 2019024063 (MO)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2019-07-02
- Last updated
- 2019-07-02
Practice location
12221 Saint Charles Rock Rd
Bridgeton, MO 63044-2502
(314) 656-6615