Individual provider · Type 1 NPI
My Pang Kou Vang, M
Dental Therapist · West St. Paul, MN
Practice location
1590 Robert St S
West St. Paul, MN 55118-3403
Mailing address
386 Winifred St E
St. Paul, MN 55107-2424
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Therapist Primary | 125J00000X | DT84 (MN) |
Dental Therapist: A Dental Therapist is an individual who has completed an accredited or non-accredited dental therapy program and who has been authorized by the relevant state board or a tribal entity to provide services within the scope of their practice under the supervision of a dentist. Functions that may be delegated to the dental therapist vary based on the needs of the dentist, the educational preparation of the dental therap…
Another provider at this address
About NPI 1033623822
My Pang Kou Vang, M's National Provider Identifier is 1033623822, issued on Dec 1, 2017. The primary taxonomy on file is Dental Therapist (125J00000X), and the practice location is in West St. Paul, MN. The record was last updated on Dec 1, 2017.