Provider Demographics
NPI:1831452804
Name:DANG, MINHTRIET VU (DDS)
Entity type:Individual
Prefix:
First Name:MINHTRIET
Middle Name:VU
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 1:6642 BRIAR TERRACE DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77072-2015
Mailing Address - Country:US
Mailing Address - Phone:832-348-3180
Mailing Address - Fax:
Practice Address - Street 1:16506 FM 529 RD
Practice Address - Street 2:SUITE 117
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77095-1462
Practice Address - Country:US
Practice Address - Phone:281-656-2500
Practice Address - Fax:281-656-2518
Is Sole Proprietor?:No
Enumeration Date:2012-06-24
Last Update Date:2012-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX279431223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice