Dang, Quyen T.

Dang, Quyen T. is an individual health care provider with primary practice located at 300 Center Dr Suite 106, Vernon Hills IL 60061-1525. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Dang, Quyen T. can be contacted via phone (847) 968-2220.

Contact Information

Primary practice address
300 Center Dr Suite 106 Vernon Hills IL 60061-1525
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 019023438 Illinois

Profile Details

NPI number 1336356856
LBN Legal business name Dang, Quyen T.
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date May 16th, 2007
Last updated Jul 8th, 2007 - about 19 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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Identifiers

StateTypeNumberIssuer
All States NPI 1336356856 NPPES
Illinois MEDICAID 9185078

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