Provider Demographics
NPI:1952717332
Name:CHEHAB, DINA ANN (DDS)
Entity type:Individual
Prefix:DR
First Name:DINA
Middle Name:ANN
Last Name:CHEHAB
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
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:301-882-3105
Mailing Address - Fax:301-882-3104
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:301-882-3105
Practice Address - Fax:301-882-3104
Is Sole Proprietor?:No
Enumeration Date:2014-07-07
Last Update Date:2021-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD155921223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry
Provider Identifiers
StateIdentifier IDID TypeIssuer
1578165098OtherNPI 2