Provider Demographics
NPI:1437817426
Name:DENTISTS OF WASHINGTON CROSSING, PC
Entity Type:Organization
Organization Name:DENTISTS OF WASHINGTON CROSSING, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:DUONG
Authorized Official - Middle Name:
Authorized Official - Last Name:NGO-ANGELINI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:267-401-2939
Mailing Address - Street 1:1087 TAYLORSVILLE RD
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON CROSSING
Mailing Address - State:PA
Mailing Address - Zip Code:18977-1319
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1087 TAYLORSVILLES RD
Practice Address - Street 2:
Practice Address - City:WASHINGTON CROSSING
Practice Address - State:PA
Practice Address - Zip Code:18977
Practice Address - Country:US
Practice Address - Phone:215-321-7500
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-12-07
Last Update Date:2021-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty