Provider Demographics
NPI:1235912098
Name:DANG DENTAL PLLC
Entity Type:Organization
Organization Name:DANG DENTAL PLLC
Other - Org Name:LUMI FAMILY DENTISTRY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER DENTIST
Authorized Official - Prefix:
Authorized Official - First Name:HAO
Authorized Official - Middle Name:A
Authorized Official - Last Name:DANG
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:714-260-4802
Mailing Address - Street 1:2818 BURGUNDY TRL
Mailing Address - Street 2:
Mailing Address - City:ROWLETT
Mailing Address - State:TX
Mailing Address - Zip Code:75088-6728
Mailing Address - Country:US
Mailing Address - Phone:714-260-4802
Mailing Address - Fax:
Practice Address - Street 1:8010 HIGHWAY 78
Practice Address - Street 2:#210
Practice Address - City:SACHSE
Practice Address - State:TX
Practice Address - Zip Code:75048
Practice Address - Country:US
Practice Address - Phone:469-777-4955
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-16
Last Update Date:2023-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty