My Pang Kou Vang, M
NPI #1033623822 in West St Paul, Minnesota
Provider Information
- NPI Number
- 1033623822
- Entity Type
- Individual
- Name
- My Pang Kou Vang, M
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dental Therapist
- Credential
- M
- Enumeration Date
- Dec 1, 2017
- Last Updated
- Dec 1, 2017
Practice Location
- Address
- 1590 ROBERT ST S
- City
- West St Paul
- State
- Minnesota
- ZIP Code
- 55118-3403
- Phone
- (651) 300-0949
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dental Therapist |
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