MEDICARE: DINH CHAU DMD PC

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	261QD0000X	Dental Clinic/Center

General Provider Information

NPI Number	:	1205420643
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DINH CHAU DMD PC

Provider Business Mailing Address
First Line	:	4210 W CRAIG RD STE 104
Second Line	:
City	:	N LAS VEGAS
State	:	NV
Zip	:	89032-2735
Country	:	US
Telephone Number	:	702-929-2022
Fax Number	:

Provider Business Practice Location Address
First Line	:	4210 W CRAIG RD STE 104
Second Line	:
City	:	N LAS VEGAS
State	:	NV
Zip	:	89032-2735
Country	:	US
Telephone Number	:	702-929-2022
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DR. MAN V CHAU
Credential	:	DMD
Telephone Number	:	702-929-2022

Provider Enumeration Date	:	02/25/2021
Last Update Date	:	02/25/2021

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