Su Vang DDS Prof Dental Corp
NPI #1407051022 in Fresno, California
Provider Information
- NPI Number
- 1407051022
- Entity Type
- Organization
- Organization Name
- Su Vang DDS Prof Dental Corp
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Jun 15, 2007
- Last Updated
- Jul 11, 2008
Practice Location
- Address
- 3481 E SHIELDS AVE
- City
- Fresno
- State
- California
- ZIP Code
- 93726
- Phone
- (559) 226-8971
Authorized Official
- Name
- DR. SU N VANG, DDS
- Title
- DENTIST
- Phone
- (559) 226-8971
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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