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NPI Code Detail

MEDICARE: DR. KHIN L THAW DDS

MEDICARE: DR. KHIN L THAW DDS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice Dentistry27188TX

General Provider Information

NPI Number : 1710260591
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KHIN L THAW DDS
Provider Business Mailing Address
First Line : 9288 BELLAIRE BLVD
Second Line :
City : HOUSTON
State : TX
Zip : 77036-4502
Country : US
Telephone Number : 832-767-2715
Fax Number : 832-767-2926
Provider Business Practice Location Address
First Line : 9288 BELLAIRE BLVD
Second Line :
City : HOUSTON
State : TX
Zip : 77036-4502
Country : US
Telephone Number : 832-767-2715
Fax Number : 832-767-2926
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/28/2011
Last Update Date : 10/21/2022

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