Provider Demographics
NPI:1508977760
Name:A JHANG DDS INC
Entity type:Organization
Organization Name:A JHANG DDS INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:ALEXANDER
Authorized Official - Middle Name:KISAM
Authorized Official - Last Name:JHANG
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:916-205-7074
Mailing Address - Street 1:4534 PRECISSI LN STE A
Mailing Address - Street 2:
Mailing Address - City:STOCKTON
Mailing Address - State:CA
Mailing Address - Zip Code:95207-6213
Mailing Address - Country:US
Mailing Address - Phone:209-957-8940
Mailing Address - Fax:209-957-7990
Practice Address - Street 1:4534 PRECISSI LN STE A
Practice Address - Street 2:
Practice Address - City:STOCKTON
Practice Address - State:CA
Practice Address - Zip Code:95207-6213
Practice Address - Country:US
Practice Address - Phone:209-957-8940
Practice Address - Fax:209-957-7990
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-31
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA42664122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty