institution
Thayer Hussein Dds,inc
Dental Clinic/Center in Garden Grove, California
NPI 1679081848

Thayer Hussein Dds,inc is a Dental Clinic/Center based in Stanton, CA and is specialized in Dental. Thayer Hussein Dds,inc practices in Garden Grove, CA. The NPI Number for Thayer Hussein Dds,inc is 1679081848 and holds a License No. 64043 (California).

The current practice location address for Thayer Hussein Dds,inc is 13872 Harbor Blvd Ste 1A-3, Garden Grove, CA and can be reached out via phone at 714-265-1000 and via fax at 714-265-1000.

Location: 13872 Harbor Blvd Ste 1A-3, Garden Grove, CA, 90680-2149
institution
Provider Profile Details
NPI Number
1679081848
Provider Name
Thayer Hussein Dds,inc
Credential
Provider Entity Type
Organization
Address
13872 Harbor Blvd Ste 1A-3, Garden Grove, CA, 90680-2149
Phone Number
714-265-1000
Fax Number
714-265-1000
Provider Enumeration Date
01/22/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1881030872 05 CA
institution
Provider Business Practice Location Address Details
Address
13872 Harbor Blvd Ste 1A-3
City
State
Zip
92843-4041
Phone Number
714-265-1000
Fax Number
714-265-1000
person
Provider Business Mailing Address Details
Address
13872 Harbor Blvd Ste 1A-3
City
State
Zip
92843-4041
Phone Number
714-265-1000
Fax Number
714-265-1000
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
License No.
64043 (California)
Definition
Definition to come...
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