Provider Demographics
NPI:1881850352
Name:DANG, VAN QUOC (DMD)
Entity Type:Individual
Prefix:DR
First Name:VAN
Middle Name:QUOC
Last Name:DANG
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2325 S 304TH ST
Mailing Address - Street 2:
Mailing Address - City:FEDERAL WAY
Mailing Address - State:WA
Mailing Address - Zip Code:98003-4872
Mailing Address - Country:US
Mailing Address - Phone:503-851-7638
Mailing Address - Fax:
Practice Address - Street 1:1025 S 320TH ST STE 201
Practice Address - Street 2:
Practice Address - City:FEDERAL WAY
Practice Address - State:WA
Practice Address - Zip Code:98003-5348
Practice Address - Country:US
Practice Address - Phone:253-839-4636
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-08-04
Last Update Date:2018-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA60268473122300000X
CA58321122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist