MEDICARE: DR. CYNTHIA CHINH D.D.S.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	122300000X	Dentist	45664	CA

General Provider Information

NPI Number	:	1053305037
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CYNTHIA CHINH D.D.S.

Provider Business Mailing Address
First Line	:	9212 VANFLEET CT
Second Line	:
City	:	LAUREL
State	:	MD
Zip	:	20708-2871
Country	:	US
Telephone Number	:	240-383-7624
Fax Number	:

Provider Business Practice Location Address
First Line	:	1016 BUCHANAN ST SE
Second Line	:
City	:	WASHINGTON NAVY YARD
State	:	DC
Zip	:	20374-5020
Country	:	US
Telephone Number	:	202-433-0828
Fax Number	:	202-433-0502

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/07/2005
Last Update Date	:	01/12/2016

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