Provider Demographics
NPI:1013047513
Name:DINH, NATHAN LINHVU (DDS)
Entity Type:Individual
Prefix:DR
First Name:NATHAN
Middle Name:LINHVU
Last Name:DINH
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17742 BEACH BLVD STE 202
Mailing Address - Street 2:
Mailing Address - City:HUNTINGTON BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92647-6800
Mailing Address - Country:US
Mailing Address - Phone:714-602-3505
Mailing Address - Fax:
Practice Address - Street 1:17742 BEACH BLVD STE 202
Practice Address - Street 2:
Practice Address - City:HUNTINGTON BEACH
Practice Address - State:CA
Practice Address - Zip Code:92647-6800
Practice Address - Country:US
Practice Address - Phone:714-602-3505
Practice Address - Fax:714-602-3504
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-06
Last Update Date:2020-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA500501223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice