Individual
MENG DENG
Active
Individual
MENG DENG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
38989
TX
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
0401417916
VA
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
38989
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0401417916
VA DENTAL LICENSE
VA
Enumeration date
06/25/2022
Last updated
03/12/2024
Update your record
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