Chi Tran Dang, DENTAL HYGIENIST

NPI #1275715088 in Santo Domingo Pueblo, New Mexico

Provider Information

NPI Number: 1275715088
Entity Type: Individual
Name: Chi Tran Dang, DENTAL HYGIENIST
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dental Hygienist
Credential: DENTAL HYGIENIST
Enumeration Date: Dec 4, 2007
Last Updated: Aug 13, 2014

Practice Location

Address: 85 WEST HIGHWAY 22
Address 2: SANTO DOMINGO HEALTH CENTER
City: Santo Domingo Pueblo
State: New Mexico
ZIP Code: 87052-0340
Phone: (505) 465-3078

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dental Hygienist	124Q00000X	Primary

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