Provider Demographics
NPI:1962781989
Name:GIANG, CHANLINDA YEN (DDS)
Entity type:Individual
Prefix:DR
First Name:CHANLINDA
Middle Name:YEN
Last Name:GIANG
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 848
Mailing Address - Street 2:
Mailing Address - City:NEW ULM
Mailing Address - State:MN
Mailing Address - Zip Code:56073-0848
Mailing Address - Country:US
Mailing Address - Phone:507-233-9400
Mailing Address - Fax:
Practice Address - Street 1:127 N BROADWAY ST
Practice Address - Street 2:
Practice Address - City:NEW ULM
Practice Address - State:MN
Practice Address - Zip Code:56073-1715
Practice Address - Country:US
Practice Address - Phone:507-233-9400
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-08-08
Last Update Date:2011-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MND130091223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice