Provider Demographics
NPI:1942307806
Name:DANG, MINH P (DDS)
Entity Type:Individual
Prefix:DR
First Name:MINH
Middle Name:P
Last Name:DANG
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15870 MONTEREY ST
Mailing Address - Street 2:
Mailing Address - City:MORGAN HILL
Mailing Address - State:CA
Mailing Address - Zip Code:95037-5475
Mailing Address - Country:US
Mailing Address - Phone:408-778-6684
Mailing Address - Fax:408-778-6698
Practice Address - Street 1:15870 MONTEREY ST
Practice Address - Street 2:
Practice Address - City:MORGAN HILL
Practice Address - State:CA
Practice Address - Zip Code:95037-5475
Practice Address - Country:US
Practice Address - Phone:408-778-6684
Practice Address - Fax:408-778-6698
Is Sole Proprietor?:No
Enumeration Date:2006-09-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA461751223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAD46175Medicare ID - Type Unspecified