Provider Demographics
NPI:1285793117
Name:DANG, SOPHIA DAO (DMD)
Entity type:Individual
Prefix:DR
First Name:SOPHIA
Middle Name:DAO
Last Name:DANG
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4818 SPARKS BLVD
Mailing Address - Street 2:SUITE 102
Mailing Address - City:SPARKS
Mailing Address - State:NV
Mailing Address - Zip Code:89436-8218
Mailing Address - Country:US
Mailing Address - Phone:775-626-6300
Mailing Address - Fax:
Practice Address - Street 1:4818 SPARKS BLVD
Practice Address - Street 2:SUITE 102
Practice Address - City:SPARKS
Practice Address - State:NV
Practice Address - Zip Code:89436-8218
Practice Address - Country:US
Practice Address - Phone:775-626-6300
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-06
Last Update Date:2015-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA53778122300000X
NV5126122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist