Provider Demographics
NPI:1104911106
Name:DINH, THUY TIEN T (DMD)
Entity type:Individual
Prefix:
First Name:THUY TIEN
Middle Name:T
Last Name:DINH
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:631 S MAIN ST
Mailing Address - Street 2:
Mailing Address - City:MILPITAS
Mailing Address - State:CA
Mailing Address - Zip Code:95035-5306
Mailing Address - Country:US
Mailing Address - Phone:408-263-6340
Mailing Address - Fax:408-263-6347
Practice Address - Street 1:631 S MAIN ST
Practice Address - Street 2:
Practice Address - City:MILPITAS
Practice Address - State:CA
Practice Address - Zip Code:95035-5306
Practice Address - Country:US
Practice Address - Phone:408-263-6340
Practice Address - Fax:408-263-6347
Is Sole Proprietor?:No
Enumeration Date:2006-10-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA467801223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice