Individual
DIEMNGOC T. DANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4710 SPOTSYLVANIA PKWY, SUITE 104, FREDERICKSBURG, VA 22407-9433
(540) 741-2733
Mailing address
15500 CHICACOAN DR, WOODBRIDGE, VA 22191-6109
(703) 498-8659
(703) 730-1198
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
0101232891
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010162645
—
VA
Enumeration date
10/26/2005
Last updated
03/24/2010
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