Individual
PETER DANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
559 VINCENT ST, PETERSON AFB, CO 80914-1541
(719) 556-5898
Mailing address
559 VINCENT ST, PETERSON AFB, CO 80914-1541
(719) 556-5898
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
33296
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/30/2017
Last updated
06/21/2022
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