Provider Demographics
NPI:1265450522
Name:DANG, STEPHEN M (DMD)
Entity Type:Individual
Prefix:DR
First Name:STEPHEN
Middle Name:M
Last Name:DANG
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:DR
Other - First Name:STEPHEN
Other - Middle Name:M
Other - Last Name:DANG
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DMD
Mailing Address - Street 1:1315 E MAIN ST
Mailing Address - Street 2:
Mailing Address - City:ALHAMBRA
Mailing Address - State:CA
Mailing Address - Zip Code:91801-4163
Mailing Address - Country:US
Mailing Address - Phone:626-281-1536
Mailing Address - Fax:626-281-1607
Practice Address - Street 1:1315 E. MAIN STREET
Practice Address - Street 2:
Practice Address - City:ALHAMBRA
Practice Address - State:CA
Practice Address - Zip Code:91801-4163
Practice Address - Country:US
Practice Address - Phone:626-281-1536
Practice Address - Fax:626-281-1607
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-17
Last Update Date:2007-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA32056122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist