Provider Demographics
NPI:1942391669
Name:DANG, HIEU NGOC (DDS)
Entity Type:Individual
Prefix:DR
First Name:HIEU
Middle Name:NGOC
Last Name:DANG
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 1:14545 FRUITVALE AVE
Mailing Address - Street 2:
Mailing Address - City:SARATOGA
Mailing Address - State:CA
Mailing Address - Zip Code:95070-6134
Mailing Address - Country:US
Mailing Address - Phone:408-393-7624
Mailing Address - Fax:408-365-9761
Practice Address - Street 1:4111 ALHAMBRA AVE
Practice Address - Street 2:
Practice Address - City:MARTINEZ
Practice Address - State:CA
Practice Address - Zip Code:94553-3823
Practice Address - Country:US
Practice Address - Phone:925-957-0148
Practice Address - Fax:925-957-9824
Is Sole Proprietor?:No
Enumeration Date:2006-09-27
Last Update Date:2022-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CACA467751223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice