Individual
DR. DIEP KIM DANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
210 AVENIDA DEL MAR #B, SAN CLEMENTE, CA 92672
(949) 366-9055
(949) 366-2025
Mailing address
210 AVENIDA DEL MAR #B, SAN CLEMENTE, CA 92672
(949) 366-9055
(949) 366-2025
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
37809
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
83780901
DENTICAL
CA
Enumeration date
11/09/2006
Last updated
08/26/2013
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