Healthcare Provider Details

I. General information

NPI: 1538387774
Provider Name (Legal Business Name): HANG HOANG
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/23/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8500 W BOWLES AVE STE 305
LITTLETON CO
80123-3273
US

IV. Provider business mailing address

8500 W BOWLES AVE STE 305
LITTLETON CO
80123-3273
US

V. Phone/Fax

Practice location:
  • Phone: 303-972-2988
  • Fax:
Mailing address:
  • Phone: 303-972-2988
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number8295
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: