Provider Demographics
NPI:1790934206
Name:ZAW MIN THU,D.D.S., A PROFESSIONAL CORPORATION
Entity Type:Organization
Organization Name:ZAW MIN THU,D.D.S., A PROFESSIONAL CORPORATION
Other - Org Name:ACE DENTAL
Other - Org Type:Other Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ZAW
Authorized Official - Middle Name:MIN
Authorized Official - Last Name:THU
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:951-351-8881
Mailing Address - Street 1:11840 MAGNOLIA AVE STE A
Mailing Address - Street 2:
Mailing Address - City:RIVERSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:92503-4900
Mailing Address - Country:US
Mailing Address - Phone:951-351-8881
Mailing Address - Fax:951-351-8889
Practice Address - Street 1:11840 MAGNOLIA AVE STE A
Practice Address - Street 2:
Practice Address - City:RIVERSIDE
Practice Address - State:CA
Practice Address - Zip Code:92503-4900
Practice Address - Country:US
Practice Address - Phone:951-351-8881
Practice Address - Fax:951-351-8889
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-09-09
Last Update Date:2008-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA508321223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty