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Organization
TITUS TANG DENTAL INC
Active
Organization
TITUS TANG DENTAL INC
Active
Parent organization
TITUS TANG DENTAL INC
Other names
Dental 360 Dental Practice of Titus Tang Dental Inc.
Organization subpart
Yes
Provider details
NPI number
Legal business name
TITUS TANG DENTAL INC
Authorized official
DR. TITUS TANG DDS (CEO)
(650) 850-8502
Entity
Organization
Contact information
Practice address
360 HILLSDALE MALL, SAN MATEO, CA 94403-3425
(650) 850-8502
Mailing address
360 HILLSDALE MALL, SAN MATEO, CA 94403-3425
(650) 850-8502
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
1223D0004X
Dental Anesthesiology
—
—
1223P0221X
Pediatric Dentistry
—
—
1223P0300X
Periodontics
—
—
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
—
—
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
—
—
Other
Enumeration date
02/28/2021
Last updated
02/28/2021
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