MEDICARE: DR. CAROLINE T. DANG D.D.S.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	DV033389	CA

General Provider Information

NPI Number	:	1508967530
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CAROLINE T. DANG D.D.S.

Provider Business Mailing Address
First Line	:	18655 YORBA LINDA BLVD
Second Line	:
City	:	YORBA LINDA
State	:	CA
Zip	:	92886-4136
Country	:	US
Telephone Number	:	714-777-5541
Fax Number	:	714-777-6996

Provider Business Practice Location Address
First Line	:	18655 YORBA LINDA BLVD
Second Line	:
City	:	YORBA LINDA
State	:	CA
Zip	:	92886-4136
Country	:	US
Telephone Number	:	714-777-5541
Fax Number	:	714-777-6996

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/25/2006
Last Update Date	:	07/08/2007

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