Organization
DINH DENTAL LLC
Active
Other names
Rejuvenate Dental Studio
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KIM THUY DINH DDS (OWNER)
(225) 333-1623
Entity
Organization
Contact information
Practice address
37341 PERKINS RD, PRAIRIEVILLE, LA 70769-3720
(225) 230-8090
Mailing address
4905 INNISWOLD OAKS DR, BATON ROUGE, LA 70809-3187
(225) 333-1623
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
03/28/2024
Last updated
03/28/2024
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