Provider Demographics
NPI:1346558731
Name:DO, CAM-TU THI (DDS)
Entity Type:Individual
Prefix:DR
First Name:CAM-TU
Middle Name:THI
Last Name:DO
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18010 8TH AVE S
Mailing Address - Street 2:SUITE 416
Mailing Address - City:BURIEN
Mailing Address - State:WA
Mailing Address - Zip Code:98148
Mailing Address - Country:US
Mailing Address - Phone:206-631-7316
Mailing Address - Fax:206-631-7339
Practice Address - Street 1:18010 8TH AVE S
Practice Address - Street 2:SUITE 416
Practice Address - City:BURIEN
Practice Address - State:WA
Practice Address - Zip Code:98148
Practice Address - Country:US
Practice Address - Phone:206-631-7316
Practice Address - Fax:206-631-7339
Is Sole Proprietor?:Yes
Enumeration Date:2010-09-20
Last Update Date:2013-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WADE601724821223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice