Provider Demographics
NPI:1215351630
Name:DINKHA DENTAL INC
Entity type:Organization
Organization Name:DINKHA DENTAL INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DR
Authorized Official - Prefix:DR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:
Authorized Official - Last Name:DINKHA
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:619-462-9933
Mailing Address - Street 1:4323 PALM AVE
Mailing Address - Street 2:SUITE C
Mailing Address - City:LA MESA
Mailing Address - State:CA
Mailing Address - Zip Code:91941-6528
Mailing Address - Country:US
Mailing Address - Phone:619-462-9933
Mailing Address - Fax:619-462-0112
Practice Address - Street 1:4323 PALM AVE
Practice Address - Street 2:SUITE C
Practice Address - City:LA MESA
Practice Address - State:CA
Practice Address - Zip Code:91941-6528
Practice Address - Country:US
Practice Address - Phone:619-462-9933
Practice Address - Fax:619-462-0112
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-02-05
Last Update Date:2014-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA423011223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty