Provider Demographics
NPI:1235447525
Name:MAI, ANH-THU (DMD)
Entity Type:Individual
Prefix:DR
First Name:ANH-THU
Middle Name:
Last Name:MAI
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12592 7TH ST APT 2
Mailing Address - Street 2:
Mailing Address - City:GARDEN GROVE
Mailing Address - State:CA
Mailing Address - Zip Code:92840-5329
Mailing Address - Country:US
Mailing Address - Phone:714-537-5731
Mailing Address - Fax:
Practice Address - Street 1:6735 WESTMINSTER BLVD
Practice Address - Street 2:SUITE #G
Practice Address - City:WESTMINSTER
Practice Address - State:CA
Practice Address - Zip Code:92683-3772
Practice Address - Country:US
Practice Address - Phone:714-899-1212
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-09-20
Last Update Date:2010-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA594791223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice