LUCKY VANG
Advanced Practice Dental Therapist
Active
Individual
NPI: 1134637143
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Dental Therapist | 125J00000X | No | DT71 (MN) |
| Advanced Practice Dental Therapist | 125K00000X | Yes | DT71 (MN) |
Frequently Asked Questions
NPI 1134637143 is the National Provider Identifier for LUCKY VANG, a Advanced Practice Dental Therapist provider located in Saint Paul, MN. This NPI was enumerated on January 12, 2018.
LUCKY VANG practices at 409 DUNLAP ST N, Saint Paul, MN 55104.
Quick Facts
- NPI
- 1134637143
- Type
- Individual
- Enumerated
- Jan 12, 2018
- Last Updated
- May 2, 2022
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