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Organization

DAN B ANG, DDS,LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DAN B ANG DDS (SOLE PROPRIETOR)
(763) 542-8723
Entity
Organization

Contact information

Practice address
5851 DULUTH ST, SUITE 313, GOLDEN VALLEY, MN 55422-3946
(763) 542-8723
(763) 512-1942
Mailing address
5851 DULUTH ST, SUITE 313, GOLDEN VALLEY, MN 55422-3946
(763) 542-8723
(763) 512-1942

Taxonomy

Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
D13168
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
D13168
STATE DENTAL LICENSE
MN
Enumeration date
02/18/2013
Last updated
02/18/2013
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