Provider Demographics
NPI:1851865463
Name:JOHN BTTG HANG DENTAL CORP
Entity Type:Organization
Organization Name:JOHN BTTG HANG DENTAL CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:
Authorized Official - Last Name:HANG
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:702-738-1988
Mailing Address - Street 1:985 S SANTA FE AVE STE 5
Mailing Address - Street 2:
Mailing Address - City:VISTA
Mailing Address - State:CA
Mailing Address - Zip Code:92083-6912
Mailing Address - Country:US
Mailing Address - Phone:760-295-1778
Mailing Address - Fax:760-295-1780
Practice Address - Street 1:985 S SANTA FE AVE STE 5
Practice Address - Street 2:
Practice Address - City:VISTA
Practice Address - State:CA
Practice Address - Zip Code:92083-6912
Practice Address - Country:US
Practice Address - Phone:760-295-1778
Practice Address - Fax:760-295-1780
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-01-16
Last Update Date:2019-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental