Provider Demographics
NPI:1952505802
Name:BANGALAN, RINGO V (DDS)
Entity Type:Individual
Prefix:DR
First Name:RINGO
Middle Name:V
Last Name:BANGALAN
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 1:18621 DEVLIN AVE
Mailing Address - Street 2:
Mailing Address - City:ARTESIA
Mailing Address - State:CA
Mailing Address - Zip Code:90701-5818
Mailing Address - Country:US
Mailing Address - Phone:626-379-8192
Mailing Address - Fax:
Practice Address - Street 1:15618 GALE AVE
Practice Address - Street 2:
Practice Address - City:HACIENDA HEIGHTS
Practice Address - State:CA
Practice Address - Zip Code:91745-1514
Practice Address - Country:US
Practice Address - Phone:626-961-8878
Practice Address - Fax:626-961-8836
Is Sole Proprietor?:No
Enumeration Date:2007-06-13
Last Update Date:2016-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA556781223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA55678OtherDENTISTRY