Mang, Dat Dultien

Mang, Dat Dultien is an sole proprietor health care provider with primary practice located at 6658 78Th Ave North , Pinellas Park FL 33781. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Mang, Dat Dultien can be contacted via phone (727) 209-0877.

Contact Information

Primary practice address
6658 78Th Ave North Pinellas Park FL 33781
Fax: (727) 209-0717
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X DN16638 Florida

Profile Details

NPI number 1457466641
LBN Legal business name Mang, Dat Dultien
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 20th, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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