Provider Demographics
NPI:1679141717
Name:DANG, CHRISTIE LAUREN (DDS)
Entity type:Individual
Prefix:DR
First Name:CHRISTIE
Middle Name:LAUREN
Last Name:DANG
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:102 N KING ST STE 202
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96817-5022
Mailing Address - Country:US
Mailing Address - Phone:808-536-4653
Mailing Address - Fax:808-536-9917
Practice Address - Street 1:102 N KING ST STE 202
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96817-5022
Practice Address - Country:US
Practice Address - Phone:808-536-4653
Practice Address - Fax:808-536-9917
Is Sole Proprietor?:Yes
Enumeration Date:2021-06-15
Last Update Date:2021-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI2906122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist