Ta, Mikhai Cong
Ta, Mikhai Cong is an individual health care provider with primary practice located at 5734 Canyon View Dr , Paradise CA 95969-5503. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Ta, Mikhai Cong can be contacted via phone (530) 876-7179.Contact Information
Primary practice address
5734 Canyon View Dr
Paradise CA 95969-5503
Phone: (530) 876-7179
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 10476 | Washington |
| Dental Providers / Dentist | 122300000X | 102306 | California |
Profile Details
| NPI number | 1316950926 |
|---|---|
| LBN Legal business name | Ta, Mikhai Cong |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 14th, 2006 |
| Last updated | Oct 3rd, 2018 - about 7 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1316950926 | NPPES |
| Washington | Other | 1852977 | UNITED CONCORDIA |
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