Kieu, Thay

Kieu, Thay is an individual health care provider with primary practice located at 30035 Haun Rd , Menifee CA 92584. She recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as her primary health care specialty. Kieu, Thay can be contacted via phone (951) 566-9090.

Contact Information

Primary practice address
30035 Haun Rd Menifee CA 92584
Phone: (951) 566-9090
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Hygienist 124Q00000X 24963 California

Profile Details

NPI number 1598200040
LBN Legal business name Kieu, Thay
Credentials Registered Dental Hygienist (RDH)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 19th, 2016
Last updated Feb 9th, 2017 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1598200040 NPPES
California MEDICAID 24963

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