Provider Demographics
NPI:1780080499
Name:DANG, MINH THU (DDS)
Entity type:Individual
Prefix:DR
First Name:MINH THU
Middle Name:
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 1:14010 NE 21ST ST
Mailing Address - Street 2:
Mailing Address - City:BELLEVUE
Mailing Address - State:WA
Mailing Address - Zip Code:98007-3718
Mailing Address - Country:US
Mailing Address - Phone:425-643-1335
Mailing Address - Fax:425-401-8758
Practice Address - Street 1:14010 NE 21ST ST
Practice Address - Street 2:
Practice Address - City:BELLEVUE
Practice Address - State:WA
Practice Address - Zip Code:98007-3718
Practice Address - Country:US
Practice Address - Phone:425-643-1335
Practice Address - Fax:425-401-8758
Is Sole Proprietor?:No
Enumeration Date:2014-11-06
Last Update Date:2014-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WADE60095110122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist