Individual
MATTHEW ANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4080 W BROADWAY AVE STE 300, ROBBINSDALE, MN 55422-5607
(414) 288-6790
Mailing address
11032 PHEASANT LN N, MAPLE GROVE, MN 55369-7604
(763) 227-7436
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D14791
MN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/24/2022
Last updated
06/24/2022
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