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Theresa Ta, DDS
Student in an Organized Health Care Education/Training Program in Palo Alto, California
NPI 1194003178

Theresa Ta is a Student in an Organized Health Care Education/Training Program based in San Jose, CA. Theresa Ta practices in Palo Alto, CA and has the professional credentials of DDS. The NPI Number for Theresa Ta is 1194003178 and holds a License No. (California).

The current practice location address for Theresa Ta is 3801 Miranda Ave, Palo Alto, CA and can be reached out via phone at 650-493-5000. You can also correspond with Theresa Ta through the mailing address at 1931 EDGEFORT CT, SAN JOSE, CA - 95122-4008 (mailing address contact number: 408-531-7477).

Location: 3801 Miranda Ave, Palo Alto, CA, 95122-4008
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1194003178
Provider Name
Theresa Ta
Credential
DDS
Provider Entity Type
Individual
Gender
Female
Address
3801 Miranda Ave, Palo Alto, CA, 95122-4008
Phone Number
650-493-5000
Fax Number
Provider Enumeration Date
07/26/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3801 Miranda Ave
City
Palo Alto
State
California
Zip
94304-1207
Phone Number
650-493-5000
Fax Number
person
Provider Business Mailing Address Details
Address
3801 Miranda Ave
City
Palo Alto
State
California
Zip
94304-1207
Phone Number
650-493-5000
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
(California)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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