Organization
DINH FAMILY DENTAL, P.C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BAO Q DINH DDS (PRESIDENT)
(219) 805-8606
Entity
Organization
Contact information
Practice address
551 W US HIGHWAY 30, SCHERERVILLE, IN 46375-2650
(219) 322-3118
Mailing address
551 W US HIGHWAY 30, SCHERERVILLE, IN 46375-2650
(219) 322-3118
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
105715582099
—
IN
Enumeration date
07/13/2021
Last updated
07/13/2021
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