Provider Demographics
NPI:1225408701
Name:DINH, MEGAN-VINH QUANG (DMD)
Entity Type:Individual
Prefix:DR
First Name:MEGAN-VINH
Middle Name:QUANG
Last Name:DINH
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4760 GALLERIA PKWY STE 104
Mailing Address - Street 2:
Mailing Address - City:SPARKS
Mailing Address - State:NV
Mailing Address - Zip Code:89436-9613
Mailing Address - Country:US
Mailing Address - Phone:775-391-6212
Mailing Address - Fax:
Practice Address - Street 1:4760 GALLERIA PKWY STE 104
Practice Address - Street 2:
Practice Address - City:SPARKS
Practice Address - State:NV
Practice Address - Zip Code:89436
Practice Address - Country:US
Practice Address - Phone:775-391-6212
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-09-28
Last Update Date:2024-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV6683122300000X
MI2901601964122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist