Individual
DR. DAN B ANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
5585 NW MOONLIGHT MEADOW DR, LEES SUMMIT, MO 64064-1283
(816) 350-8237
Mailing address
5585 NW MOONLIGHT MEADOW DR, LEES SUMMIT, MO 64064-1283
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2003021185
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
440661018
FEDERAL TAX ID#
MO
Enumeration date
07/27/2006
Last updated
07/08/2007
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