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Organization
LAN THAI DINH DDS INC
Active
Organization
LAN THAI DINH DDS INC
Active
Other names
River Arch Dental Group
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LAN THAI DINH DDS (PRESIDENT)
(909) 923-2273
Entity
Organization
Contact information
Practice address
2920 S ARCHIBALD AVE, SUITE C, ONTARIO, CA 91761-7364
(909) 923-2273
(909) 923-2284
Mailing address
2920 S ARCHIBALD AVE, SUITE C, ONTARIO, CA 91761-7364
(909) 923-2273
(909) 923-2284
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
49743
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1114976347
PREVIOUS NPI NUMBER
CA
01
—
G9373301
MEDI-CAL PROVIDER NUMBER
CA
Enumeration date
04/06/2007
Last updated
09/06/2008
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