Organization
J DANG DENTAL
Active
Other names
Broadway Dental
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JIMMY DANG DMD (CEO)
(818) 240-5888
Entity
Organization
Contact information
Practice address
727 E BROADWAY, GLENDALE, CA 91205-1103
(818) 240-5888
(818) 240-5461
Mailing address
727 E BROADWAY, GLENDALE, CA 91205-1103
(818) 240-5888
(818) 240-5461
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
06/26/2019
Last updated
06/26/2019
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