Individual
DIANA NGOC DANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10102 NE GLISAN ST, PORTLAND, OR 97220-4456
(503) 481-8952
Mailing address
14314 NE FREMONT CT, PORTLAND, OR 97230-3614
(503) 481-8952
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
123229
OR
Other
Enumeration date
04/25/2018
Last updated
04/25/2018
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