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NPI Code Detail

MEDICARE: ROBERT T DINH

MEDICARE: ROBERT T DINH
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
11223G0001XGeneral Practice Dentistry48100CA

General Provider Information

NPI Number : 1720108293
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROBERT T DINH
Provider Business Mailing Address
First Line : 666 N RANCH WOOD TRL
Second Line :
City : ORANGE
State : CA
Zip : 92869-2302
Country : US
Telephone Number : 714-612-6302
Fax Number :
Provider Business Practice Location Address
First Line : 2619 W EDINGER AVE STE A3
Second Line :
City : SANTA ANA
State : CA
Zip : 92704-3501
Country : US
Telephone Number : 714-751-4072
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/30/2007
Last Update Date : 07/08/2007

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Directions to “ ROBERT T DINH ” Practice Location

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