Provider Demographics
NPI:1801844360
Name:MA, LINDA THUY (DMD)
Entity Type:Individual
Prefix:DR
First Name:LINDA
Middle Name:THUY
Last Name:MA
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:DR
Other - First Name:LINDA
Other - Middle Name:THUY
Other - Last Name:MA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DMD
Mailing Address - Street 1:6323 S RURAL RD STE 101
Mailing Address - Street 2:
Mailing Address - City:TEMPE
Mailing Address - State:AZ
Mailing Address - Zip Code:85283-2933
Mailing Address - Country:US
Mailing Address - Phone:480-820-7777
Mailing Address - Fax:480-820-7774
Practice Address - Street 1:6323 S RURAL RD STE 101
Practice Address - Street 2:
Practice Address - City:TEMPE
Practice Address - State:AZ
Practice Address - Zip Code:85283-2933
Practice Address - Country:US
Practice Address - Phone:480-820-7777
Practice Address - Fax:480-820-7774
Is Sole Proprietor?:No
Enumeration Date:2006-05-05
Last Update Date:2013-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ63291223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice