Individual
MICHELLE THANH DINH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1717 W COWLES ST, FAIRBANKS, AK 99701-5926
(970) 451-6682
Mailing address
13465 GREENTREE AVE, GARDEN GROVE, CA 92840-4615
(714) 262-3096
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DDS109098
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/24/2023
Last updated
09/21/2023
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