Provider Demographics
NPI:1265859854
Name:UNG, LADY (DDS)
Entity Type:Individual
Prefix:DR
First Name:LADY
Middle Name:
Last Name:UNG
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 1:8120 FENTON ST
Mailing Address - Street 2:SUITE 100
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20910-4796
Mailing Address - Country:US
Mailing Address - Phone:301-608-9800
Mailing Address - Fax:301-608-9331
Practice Address - Street 1:8120 FENTON ST
Practice Address - Street 2:SUITE 100
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20910-4796
Practice Address - Country:US
Practice Address - Phone:301-608-9800
Practice Address - Fax:301-608-9331
Is Sole Proprietor?:No
Enumeration Date:2014-03-21
Last Update Date:2014-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD15651122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist