Individual
KIM TIEN DINH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1804 N 7TH ST, WEST MONROE, LA 71291-4414
(318) 325-2610
Mailing address
1804 N 7TH ST, WEST MONROE, LA 71291-4414
(318) 325-2610
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
320360
LA
Other
Enumeration date
04/17/2014
Last updated
07/30/2019
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