Individual
CHI TRAN DANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DENTAL HYGIENIST
Contact information
Practice address
85 WEST HIGHWAY 22, SANTO DOMINGO HEALTH CENTER, SANTO DOMINGO PUEBLO, NM 87052-0340
(505) 465-3078
(505) 465-1153
Mailing address
PO BOX 340, SANTO DOMINGO HEALTH CENTER, SANTO DOMINGO PUEBLO, NM 87052-0340
(505) 465-3078
(505) 465-1153
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH1438
NM
Other
Enumeration date
12/04/2007
Last updated
08/13/2014
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