Provider Demographics
NPI:1780013656
Name:ROW, SANG (DDS)
Entity Type:Individual
Prefix:
First Name:SANG
Middle Name:
Last Name:ROW
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 FORT SHAFTER ARMY BASE BLDG 884
Mailing Address - Street 2:US ARMY DENTAL ACTIVITY HAWAII
Mailing Address - City:FORT SHAFTER
Mailing Address - State:HI
Mailing Address - Zip Code:96858-5009
Mailing Address - Country:US
Mailing Address - Phone:808-439-4131
Mailing Address - Fax:
Practice Address - Street 1:1 FORT SHAFTER BASE BLDG 884
Practice Address - Street 2:US ARMY DENTAL ACTIVITY HAWAII
Practice Address - City:FORT SHAFTER
Practice Address - State:HI
Practice Address - Zip Code:96858-5099
Practice Address - Country:US
Practice Address - Phone:808-438-4131
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-11-01
Last Update Date:2016-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA630701223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice