Individual
BAO-HANH THI DANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
4417 W GORE BLVD STE 11, LAWTON, OK 73505-5978
(580) 248-8418
Mailing address
4413 S LEE AVE, OKLAHOMA CITY, OK 73109-3527
(405) 631-7748
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5945
OK
Other
Enumeration date
06/12/2007
Last updated
07/08/2007
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