Provider Demographics
NPI:1578165098
Name:DINA CHEHAB DDS PC
Entity Type:Organization
Organization Name:DINA CHEHAB DDS PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DINA
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:CHEHAB
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:301-525-5382
Mailing Address - Street 1:3280 URBANA PIKE STE 203
Mailing Address - Street 2:
Mailing Address - City:IJAMSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21754-9406
Mailing Address - Country:US
Mailing Address - Phone:301-525-5382
Mailing Address - Fax:
Practice Address - Street 1:3280 URBANA PIKE STE 203
Practice Address - Street 2:
Practice Address - City:IJAMSVILLE
Practice Address - State:MD
Practice Address - Zip Code:21754-9406
Practice Address - Country:US
Practice Address - Phone:301-525-5382
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-11-10
Last Update Date:2020-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0221XDental ProvidersDentistPediatric DentistryGroup - Single Specialty