Jeanette Huong Thai, DDS Valid NPI

Individual provider · General Practice Dentistry · Lake Forest, CA

NPI

1801905708

Type

Individual (Type 1)

Primary specialty

General Practice Dentistry (Dentist)

Specialty group

Dental Providers

Taxonomy code

1223G0001X

License number

36015 (CA)

Sex

Female

Sole proprietor

Yes

Enumerated

2006-08-30

Last updated

2020-02-04