Individual
ALEX DANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1234 N SANTA FE AVE, VISTA, CA 92083-3206
(510) 507-0832
Mailing address
1463 LA LINDA DR, SAN MARCOS, CA 92078-4709
(510) 507-0832
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
106833
CA
Other
Enumeration date
10/21/2021
Last updated
10/21/2021
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