Provider Demographics
NPI:1093925521
Name:DINH, HUNG XUAN (DMD)
Entity Type:Individual
Prefix:DR
First Name:HUNG
Middle Name:XUAN
Last Name:DINH
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3402 E CHAPMAN AVE
Mailing Address - Street 2:
Mailing Address - City:ORANGE
Mailing Address - State:CA
Mailing Address - Zip Code:92869-3813
Mailing Address - Country:US
Mailing Address - Phone:714-657-8700
Mailing Address - Fax:
Practice Address - Street 1:3402 E CHAPMAN AVE
Practice Address - Street 2:
Practice Address - City:ORANGE
Practice Address - State:CA
Practice Address - Zip Code:92869-3813
Practice Address - Country:US
Practice Address - Phone:714-657-8700
Practice Address - Fax:714-744-0120
Is Sole Proprietor?:No
Enumeration Date:2007-05-23
Last Update Date:2019-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA49300122300000X, 1223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery
No122300000XDental ProvidersDentist