Provider Demographics
NPI:1265872014
Name:DINH, TO NGA THI (DMD)
Entity type:Individual
Prefix:DR
First Name:TO NGA
Middle Name:THI
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 1:1514 GLENLEAF DR
Mailing Address - Street 2:
Mailing Address - City:NORCROSS
Mailing Address - State:GA
Mailing Address - Zip Code:30092-6114
Mailing Address - Country:US
Mailing Address - Phone:770-979-6400
Mailing Address - Fax:770-979-7465
Practice Address - Street 1:1514 GLENLEAF DR
Practice Address - Street 2:
Practice Address - City:NORCROSS
Practice Address - State:GA
Practice Address - Zip Code:30092-6114
Practice Address - Country:US
Practice Address - Phone:770-979-6400
Practice Address - Fax:770-979-7465
Is Sole Proprietor?:No
Enumeration Date:2013-06-26
Last Update Date:2013-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GADN0146111223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice