Provider Demographics
NPI:1982723631
Name:QUACH, ANH-THU THI (DDS)
Entity Type:Individual
Prefix:DR
First Name:ANH-THU
Middle Name:THI
Last Name:QUACH
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 1:39525 LOS ALAMOS RD
Mailing Address - Street 2:SUITE # D
Mailing Address - City:MURRIETA
Mailing Address - State:CA
Mailing Address - Zip Code:92563-5027
Mailing Address - Country:US
Mailing Address - Phone:951-696-7600
Mailing Address - Fax:951-696-7602
Practice Address - Street 1:39525 LOS ALAMOS RD
Practice Address - Street 2:SUITE # D
Practice Address - City:MURRIETA
Practice Address - State:CA
Practice Address - Zip Code:92563-5027
Practice Address - Country:US
Practice Address - Phone:951-696-7600
Practice Address - Fax:951-696-7602
Is Sole Proprietor?:No
Enumeration Date:2007-03-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA426941223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice