Provider Demographics
NPI:1487093191
Name:DINH, LAURA AN (DDS)
Entity type:Individual
Prefix:
First Name:LAURA
Middle Name:AN
Last Name:DINH
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2611 ROSS AVE
Mailing Address - Street 2:#6020
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75201-2539
Mailing Address - Country:US
Mailing Address - Phone:337-258-0226
Mailing Address - Fax:
Practice Address - Street 1:2611 ROSS AVE
Practice Address - Street 2:#6020
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75201-2539
Practice Address - Country:US
Practice Address - Phone:337-258-0226
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-17
Last Update Date:2013-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX28903122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist