Individual
LAO VANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
10616 KYLE AVE N, BROOKLYN PARK, MN 55443-1250
(763) 221-0361
Mailing address
5700 BOTTINEAU BLVD STE 270, CRYSTAL, MN 55429-2671
(763) 210-8222
(763) 280-7511
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D13678
MN
Other
Enumeration date
06/02/2016
Last updated
02/20/2020
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