DR. Dat Dultien Mang, DMD

NPI #1457466641 in Pinellas Park, Florida

Provider Information

NPI Number
1457466641
Entity Type
Individual
Name
DR. Dat Dultien Mang, DMD
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dentist
Credential
DMD
Enumeration Date
Aug 20, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
6658 78TH AVE NORTH
State
Florida
ZIP Code
33781
Phone
(727) 209-0877

Specialties & Taxonomy Codes

Specialty
Dentist

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