Provider Demographics
NPI:1922200229
Name:DO, MELINH THU (DDS)
Entity Type:Individual
Prefix:
First Name:MELINH
Middle Name:THU
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 1:1120 W LA PALMA AVE
Mailing Address - Street 2:STE.8
Mailing Address - City:ANAHEIM
Mailing Address - State:CA
Mailing Address - Zip Code:92801-2801
Mailing Address - Country:US
Mailing Address - Phone:951-264-5657
Mailing Address - Fax:
Practice Address - Street 1:1120 W LA PALMA AVE
Practice Address - Street 2:STE.8
Practice Address - City:ANAHEIM
Practice Address - State:CA
Practice Address - Zip Code:92801-2801
Practice Address - Country:US
Practice Address - Phone:951-264-5657
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA497451223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice