Provider Demographics
NPI:1508243098
Name:DON SIN DMD II PA
Entity Type:Organization
Organization Name:DON SIN DMD II PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DONGHONG
Authorized Official - Middle Name:
Authorized Official - Last Name:SIN
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:469-888-3918
Mailing Address - Street 1:102 S SYCAMORE ST
Mailing Address - Street 2:
Mailing Address - City:FREMONT
Mailing Address - State:NC
Mailing Address - Zip Code:27830-8709
Mailing Address - Country:US
Mailing Address - Phone:919-242-5500
Mailing Address - Fax:
Practice Address - Street 1:102 S SYCAMORE ST
Practice Address - Street 2:
Practice Address - City:FREMONT
Practice Address - State:NC
Practice Address - Zip Code:27830-8709
Practice Address - Country:US
Practice Address - Phone:919-242-5500
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-05-04
Last Update Date:2015-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty