Provider Demographics
NPI:1568763399
Name:KID FOCUS DENTISTRY TRANG X. NGO D.D.S. PROFESSIONAL L.L.C.
Entity Type:Organization
Organization Name:KID FOCUS DENTISTRY TRANG X. NGO D.D.S. PROFESSIONAL L.L.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR OF DENTAL SURGERY, OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:TRANG
Authorized Official - Middle Name:XUAN
Authorized Official - Last Name:NGO
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:303-543-8338
Mailing Address - Street 1:5111 KIPLING ST
Mailing Address - Street 2:SUITE 510
Mailing Address - City:WHEAT RIDGE
Mailing Address - State:CO
Mailing Address - Zip Code:80033-2321
Mailing Address - Country:US
Mailing Address - Phone:303-543-8338
Mailing Address - Fax:303-496-7040
Practice Address - Street 1:5111 KIPLING ST
Practice Address - Street 2:SUITE 510
Practice Address - City:WHEAT RIDGE
Practice Address - State:CO
Practice Address - Zip Code:80033-2321
Practice Address - Country:US
Practice Address - Phone:303-543-8338
Practice Address - Fax:303-496-7040
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-11-10
Last Update Date:2010-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO101511223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1982746046OtherNPI NUMBER (PRIMARY)