Provider Demographics
NPI:1588957351
Name:THOU, XUAN THI NGOC (DDS)
Entity type:Individual
Prefix:DR
First Name:XUAN
Middle Name:THI NGOC
Last Name:THOU
Suffix:
Gender:
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5153 WEST 98TH STREET
Mailing Address - Street 2:
Mailing Address - City:BLOOMINGTON
Mailing Address - State:MN
Mailing Address - Zip Code:55437
Mailing Address - Country:US
Mailing Address - Phone:952-835-0666
Mailing Address - Fax:952-835-1391
Practice Address - Street 1:5153 WEST 98TH STREET
Practice Address - Street 2:
Practice Address - City:BLOOMINGTON
Practice Address - State:MN
Practice Address - Zip Code:55437
Practice Address - Country:US
Practice Address - Phone:952-856-3383
Practice Address - Fax:952-835-1391
Is Sole Proprietor?:No
Enumeration Date:2011-05-26
Last Update Date:2025-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MND12834122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist