Basic Information
| Provider Information | |||||||||
| NPI: | 1598084683 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | DINH | ||||||||
| FirstName: | DUNG | ||||||||
| MiddleName: | VINH | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | D.D.S. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1380 MAPLEWOOD DR | ||||||||
| Address2: | |||||||||
| City: | HARVEY | ||||||||
| State: | LA | ||||||||
| PostalCode: | 700583808 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5043077689 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 3455 GOVERNMENT ST | ||||||||
| Address2: | |||||||||
| City: | BATON ROUGE | ||||||||
| State: | LA | ||||||||
| PostalCode: | 708065717 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2253418332 | ||||||||
| FaxNumber: | 2253834130 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/27/2010 | ||||||||
| LastUpdateDate: | 05/27/2010 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 1223G0001X | 6039 | LA | Y | Dental Providers | Dentist | General Practice | 1223P0221X | 6039 | LA | N | Dental Providers | Dentist | Pediatric Dentistry |
No ID Information.