Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 122300000X | Dentist | 49300 | CA |
Y | 1223S0112X | Oral and Maxillofacial Surgeon | 49300 | CA |
NPI | 1093925521 |
---|---|
Provider Name | Dr. Hung Xuan Dinh |
First Address | Orange, CA 92869-3813 |
Second Address | Orange, CA 92869-3813 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/05/2007 |
Last Update Date | 10/04/2019 |