Adrienne Fang,DDS, Prof Corp

Organization Active NPI General Practice Dentistry · West Hollywood, CA

NPI 1588930366 · NPPES record last updated Mar 27, 2012

Key facts

NPI
1588930366
Entity type
Organization (NPI type 2)
Primary specialty
General Practice Dentistry 1223G0001X
License
52386 (CA)
Legal business name
ADRIENNE FANG,DDS, PROF CORP
Practice address
1037 N Vista St
#201
West Hollywood, CA 90046-6642
Phone
(818) 795-1391
NPI assigned
Mar 27, 2012
Organization subpart
No

Authorized official

Name
Dr. Adrienne Fang-Lalas, DDS
Title
President
Phone
(818) 795-1391

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry
Group: 193400000X SINGLE SPECIALTY GROUP
1223G0001X 52386 CA Yes

Addresses

Primary practice location

1037 N Vista St
#201
West Hollywood, CA 90046-6642

Mailing address

1037 N Vista St
#201
West Hollywood, CA 90046-6642
Phone (818) 795-1391

Other names

  • Adrienne Fang, DDS Doing business as

Other providers in West Hollywood, CA

All providers in West Hollywood, CA · General Practice Dentistry in California

Sources for this page

Verify at the official NPI Registry.