Individual
DR. DAT DULTIEN MANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
6658 78TH AVE NORTH, PINELLAS PARK, FL 33781
(727) 209-0877
(727) 209-0717
Mailing address
6658 78TH AVE NORTH, PINELLAS PARK, FL 33781
(727) 209-0877
(727) 209-0717
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN16638
FL
Other
Enumeration date
08/20/2006
Last updated
07/08/2007
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