Provider Demographics
NPI:1700080488
Name:TON, THUYTIEN (DDS)
Entity Type:Individual
Prefix:DR
First Name:THUYTIEN
Middle Name:
Last Name:TON
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 1:10371 PRATHER LN
Mailing Address - Street 2:
Mailing Address - City:TUSTIN
Mailing Address - State:CA
Mailing Address - Zip Code:92782-1437
Mailing Address - Country:US
Mailing Address - Phone:714-272-2708
Mailing Address - Fax:
Practice Address - Street 1:22922 LOS ALISOS BLVD STE J
Practice Address - Street 2:
Practice Address - City:MISSION VIEJO
Practice Address - State:CA
Practice Address - Zip Code:92691-2856
Practice Address - Country:US
Practice Address - Phone:949-783-2671
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-14
Last Update Date:2024-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA42382122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist