Provider Demographics
NPI:1073051389
Name:LAURA AN DINH DENTISTRY, PC
Entity Type:Organization
Organization Name:LAURA AN DINH DENTISTRY, PC
Other - Org Name:DINH DENTISTRY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DENTIST/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:LAURA
Authorized Official - Middle Name:AN
Authorized Official - Last Name:DINH
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:956-968-9762
Mailing Address - Street 1:1124 E 8TH ST
Mailing Address - Street 2:
Mailing Address - City:WESLACO
Mailing Address - State:TX
Mailing Address - Zip Code:78596-7152
Mailing Address - Country:US
Mailing Address - Phone:956-968-9762
Mailing Address - Fax:956-969-8570
Practice Address - Street 1:1124 E 8TH ST
Practice Address - Street 2:
Practice Address - City:WESLACO
Practice Address - State:TX
Practice Address - Zip Code:78596-7152
Practice Address - Country:US
Practice Address - Phone:956-968-9762
Practice Address - Fax:956-969-8570
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:LAURA AN DINH DENTISTRY, PC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2017-02-07
Last Update Date:2017-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX289031223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty