| Lan Thai Dinh Dds Inc | |
|
2920 S Archibald Ave Suite C Ontario CA 91761-7364 | |
| (909) 923-2273 | |
| (909) 923-2284 |
| Full Name | Lan Thai Dinh Dds Inc |
|---|---|
| Speciality | Dentist |
| Location | 2920 S Archibald Ave, Ontario, California |
| Authorized Official Name and Position | Lan Thai Dinh (PRESIDENT) |
| Authorized Official Contact | 9099232273 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lan Thai Dinh Dds Inc 2920 S Archibald Ave Suite C Ontario CA 91761-7364 Ph: (909) 923-2273 | Lan Thai Dinh Dds Inc 2920 S Archibald Ave Suite C Ontario CA 91761-7364 Ph: (909) 923-2273 |
| NPI Number | 1558484527 |
|---|---|
| Provider Enumeration Date | 04/06/2007 |
| Last Update Date | 09/06/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558484527 | NPI | - | NPPES |
| G9373301 | Other | CA | MEDI-CAL PROVIDER NUMBER |
| 1114976347 | Other | CA | PREVIOUS NPI NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 49743 (California) | Primary |
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