Provider Demographics
NPI:1528450830
Name:HIEU N. DANG, DDS, INC.
Entity type:Organization
Organization Name:HIEU N. DANG, DDS, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:HIEU
Authorized Official - Middle Name:NGOC
Authorized Official - Last Name:DANG
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:408-365-9791
Mailing Address - Street 1:14545 FRUITVALE AVE
Mailing Address - Street 2:
Mailing Address - City:SARATOGA
Mailing Address - State:CA
Mailing Address - Zip Code:95070-6134
Mailing Address - Country:US
Mailing Address - Phone:408-393-7624
Mailing Address - Fax:408-647-6020
Practice Address - Street 1:4111 ALHAMBRA AVE
Practice Address - Street 2:
Practice Address - City:MARTINEZ
Practice Address - State:CA
Practice Address - Zip Code:94553-3823
Practice Address - Country:US
Practice Address - Phone:925-957-0148
Practice Address - Fax:925-957-9824
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-02-24
Last Update Date:2022-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA46775122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Multi-Specialty