# DINH FAMILY DENTAL, P.C

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1861064404
- **Authorized official:** DR. BAO Q DINH DDS (PRESIDENT)
- **Authorized official phone:** (219) 805-8606

## Contact information

- **Practice address:** 551 W US HIGHWAY 30, SCHERERVILLE, IN 46375-2650
- **Practice address phone:** (219) 322-3118
- **Mailing address:** 551 W US HIGHWAY 30, SCHERERVILLE, IN 46375-2650
- **Mailing address phone:** (219) 322-3118

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | — | Yes |

## Other

- **Enumeration date:** 07/13/2021
- **Last updated:** 07/13/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 105715582099 | — | IN |