Long Thao, D.D.S
NPI 1457765349 · on the registry since 2014
Practice
- Address
- 4243 4th Ave S
Minneapolis, MN 55409 - Phone
- (612) 822-9030
- Organisation at this address
- Southside Community Health Services, Inc.
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 17
Registry record
- Primary taxonomy
- Dentist
122300000X
- Licence states on file
- MN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2014-06-18
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Minnesota