Provider Demographics
NPI:1841399557
Name:DIN, ALA U (BDS)
Entity Type:Individual
Prefix:DR
First Name:ALA
Middle Name:U
Last Name:DIN
Suffix:
Gender:M
Credentials:BDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:777 WELCH RD
Mailing Address - Street 2:SUITE # G
Mailing Address - City:PALO ALTO
Mailing Address - State:CA
Mailing Address - Zip Code:94304-1613
Mailing Address - Country:US
Mailing Address - Phone:650-325-2551
Mailing Address - Fax:650-325-2580
Practice Address - Street 1:777 WELCH RD
Practice Address - Street 2:SUITE # G
Practice Address - City:PALO ALTO
Practice Address - State:CA
Practice Address - Zip Code:94304-1613
Practice Address - Country:US
Practice Address - Phone:650-325-2551
Practice Address - Fax:650-325-2580
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA32823122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist