Whalio Doctors

NPI 1033623822

My Pang Kou Vang, M

Practitioner Dental Therapist West St Paul, MN

Practice location

Address
1590 Robert St S, West St Paul, MN 55118-3403
Phone
(651) 300-0949
Mailing address
386 Winifred St E, Saint Paul, MN 55107-2424

Registered specialties

Dental Therapist Primary
Dental Providers Taxonomy 125J00000X Licence DT84 (MN)

Registry record

NPI
1033623822
Entity type
Individual
Sex (as registered)
Female
NPI issued
1 Dec 2017
Record last updated
1 Dec 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.