Healthcare Provider Details

I. General information

NPI: 1134040793
Provider Name (Legal Business Name): THWIN AUNG A AUNG
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/21/2026
Last Update Date: 07/21/2026
Certification Date: 07/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3652 W SHIELDS AVE
FRESNO CA
93722
US

IV. Provider business mailing address

475 TEHAMA ST UNIT 103
SAN FRANCISCO CA
94103-4147
US

V. Phone/Fax

Practice location:
  • Phone: 800-492-4227
  • Fax:
Mailing address:
  • Phone: 628-294-7199
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223D0001X
TaxonomyPublic Health Dentistry
License Number113245
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: