Provider Demographics
NPI:1881831790
Name:DANE HOANG D.D.S., M.S & ASSOCIATES
Entity Type:Organization
Organization Name:DANE HOANG D.D.S., M.S & ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:LUCIA
Authorized Official - Middle Name:
Authorized Official - Last Name:HURTADO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-234-4500
Mailing Address - Street 1:4011 E RENNER RD
Mailing Address - Street 2:SUITE 108
Mailing Address - City:RICHARDSON
Mailing Address - State:TX
Mailing Address - Zip Code:75082-2916
Mailing Address - Country:US
Mailing Address - Phone:972-808-9600
Mailing Address - Fax:
Practice Address - Street 1:4011 E RENNER RD
Practice Address - Street 2:SUITE 108
Practice Address - City:RICHARDSON
Practice Address - State:TX
Practice Address - Zip Code:75082-2916
Practice Address - Country:US
Practice Address - Phone:972-808-9600
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-01-14
Last Update Date:2009-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX188431223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0221XDental ProvidersDentistPediatric DentistryGroup - Single Specialty