Provider Demographics
NPI:1164586368
Name:WHANG, NATALIE M (DDS)
Entity Type:Individual
Prefix:DR
First Name:NATALIE
Middle Name:M
Last Name:WHANG
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 1:41865 BOARDWALK
Mailing Address - Street 2:SUITE 210
Mailing Address - City:PALM DESERT
Mailing Address - State:CA
Mailing Address - Zip Code:92211-9026
Mailing Address - Country:US
Mailing Address - Phone:760-773-5747
Mailing Address - Fax:760-773-5787
Practice Address - Street 1:41865 BOARDWALK
Practice Address - Street 2:SUITE 210
Practice Address - City:PALM DESERT
Practice Address - State:CA
Practice Address - Zip Code:92211-9026
Practice Address - Country:US
Practice Address - Phone:760-773-5747
Practice Address - Fax:760-773-5787
Is Sole Proprietor?:No
Enumeration Date:2006-12-21
Last Update Date:2012-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA54830122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist