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Organization
TANG & WONG DENTAL, INC
Active
Organization
TANG & WONG DENTAL, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JENNIFER TANG DMD (OWNER DENTIST)
(310) 315-1142
Entity
Organization
Contact information
Practice address
2336 SANTA MONICA BLVD STE 202, SANTA MONICA, CA 90404-2093
(310) 315-1142
(310) 315-0640
Mailing address
2336 SANTA MONICA BLVD STE 202, SANTA MONICA, CA 90404-2093
(310) 315-1142
(310) 315-0640
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
103085
DENTIST
CA
Enumeration date
07/27/2021
Last updated
07/27/2021
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