Provider Demographics
NPI:1043473408
Name:DAVID DINH DDS INC
Entity Type:Organization
Organization Name:DAVID DINH DDS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:QUANG
Authorized Official - Last Name:DINH
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:209-333-6091
Mailing Address - Street 1:920 S CHEROKEE LN
Mailing Address - Street 2:SUIT #G
Mailing Address - City:LODI
Mailing Address - State:CA
Mailing Address - Zip Code:95240-4341
Mailing Address - Country:US
Mailing Address - Phone:209-333-6091
Mailing Address - Fax:209-333-6093
Practice Address - Street 1:920 S CHEROKEE LN
Practice Address - Street 2:SUIT #G
Practice Address - City:LODI
Practice Address - State:CA
Practice Address - Zip Code:95240-4341
Practice Address - Country:US
Practice Address - Phone:209-333-6091
Practice Address - Fax:209-333-6093
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-07
Last Update Date:2016-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA470681223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty