Individual
DR. JACKILYN DANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
3851 SW GREEN OAKS BLVD, #100, ARLINGTON, TX 76017-4130
(817) 789-4488
(817) 541-4471
Mailing address
3851 SW GREEN OAKS BLVD, STE 101, ARLINGTON, TX 76017-4130
(817) 789-4488
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
27231
TX
1223G0001X
General Practice Dentistry
27231
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
282677802
—
TX
05
—
800851489
—
TX
Enumeration date
08/15/2011
Last updated
01/03/2024
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