Provider Demographics
NPI:1457467110
Name:DO, THU THI MINH (DDS)
Entity Type:Individual
Prefix:
First Name:THU
Middle Name:THI MINH
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 1:34812 US HIGHWAY 19 N
Mailing Address - Street 2:
Mailing Address - City:PALM HARBOR
Mailing Address - State:FL
Mailing Address - Zip Code:34684-1918
Mailing Address - Country:US
Mailing Address - Phone:727-787-1226
Mailing Address - Fax:727-386-4012
Practice Address - Street 1:34812 US HIGHWAY 19 N
Practice Address - Street 2:
Practice Address - City:PALM HARBOR
Practice Address - State:FL
Practice Address - Zip Code:34684-1918
Practice Address - Country:US
Practice Address - Phone:727-787-1226
Practice Address - Fax:727-386-4012
Is Sole Proprietor?:No
Enumeration Date:2006-08-22
Last Update Date:2014-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX18717122300000X
FL17799122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist