Provider Demographics
NPI:1669864203
Name:DAO HOANG D.M.D. DENTAL CORPORATION
Entity Type:Organization
Organization Name:DAO HOANG D.M.D. DENTAL CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DAO
Authorized Official - Middle Name:B
Authorized Official - Last Name:HOANG
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:408-736-4669
Mailing Address - Street 1:516 W REMINGTON DR
Mailing Address - Street 2:STE 5B
Mailing Address - City:SUNNYVALE
Mailing Address - State:CA
Mailing Address - Zip Code:94087-2470
Mailing Address - Country:US
Mailing Address - Phone:408-736-4669
Mailing Address - Fax:408-736-1813
Practice Address - Street 1:516 W REMINGTON DR
Practice Address - Street 2:STE 5B
Practice Address - City:SUNNYVALE
Practice Address - State:CA
Practice Address - Zip Code:94087-2470
Practice Address - Country:US
Practice Address - Phone:408-736-4669
Practice Address - Fax:408-736-1813
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-02-18
Last Update Date:2015-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA457031223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223E0200XDental ProvidersDentistEndodonticsGroup - Single Specialty