Individual
DR. LUCKYM VAN DINH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
3 KELLY DRIVER RD, LAUREL SPRINGS, NJ 08021-4823
(856) 258-7064
Mailing address
204 HAMPDEN RD, UPPER DARBY, PA 19082-4007
(484) 343-3173
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
22DI02924100
NJ
122300000X
Dentist
DS043753
PA
1223G0001X
General Practice Dentistry
DS043753
PA
Other
Enumeration date
06/27/2022
Last updated
08/03/2022
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