Provider Demographics
NPI:1508967530
Name:DANG, CAROLINE T (DDS)
Entity Type:Individual
Prefix:DR
First Name:CAROLINE
Middle Name:T
Last Name:DANG
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 1:18655 YORBA LINDA BLVD
Mailing Address - Street 2:
Mailing Address - City:YORBA LINDA
Mailing Address - State:CA
Mailing Address - Zip Code:92886-4136
Mailing Address - Country:US
Mailing Address - Phone:714-777-5541
Mailing Address - Fax:714-777-6996
Practice Address - Street 1:18655 YORBA LINDA BLVD
Practice Address - Street 2:
Practice Address - City:YORBA LINDA
Practice Address - State:CA
Practice Address - Zip Code:92886-4136
Practice Address - Country:US
Practice Address - Phone:714-777-5541
Practice Address - Fax:714-777-6996
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADV0333891223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice