Dr. Bao Q Dinh, DDS
Dentist, General Practice in Portage, IN. Individual provider (NPI-1).
NPI number1225529183
StatusActive
Last updated in NPPESMay 25, 2018
Details
- NPI
- 1225529183
- Entity type
- Individual (NPI-1)
- Name
- Dr. Bao Q Dinh
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 25, 2018
- Last updated
- May 25, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 12012926A | IN | Yes |
Practice location
6035 Sterling Creek RdPortage, IN 46368-7752
Phone 219-850-1218
Mailing address
2740 40th St Apt 2bHighland, IN 46322-2768
Phone 219-805-8606
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