# CHRISTINE NGOC M TANG

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1568520823
- **Authorized official:** CHRISTINE NGOC MY TANG DDS (OWNER)
- **Authorized official phone:** (206) 324-6843

## Contact information

- **Practice address:** 1207 S JACKSON STREET SUITE \#210, SEATTLE, WA 98144
- **Practice address phone:** (206) 324-6843
- **Mailing address:** 24123 BEESON PLACE, EDMONDS, WA 98026
- **Mailing address phone:** (206) 324-6843

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 6396 | WA | Yes |

## Other

- **Enumeration date:** 12/05/2006
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 5009980 | — | WA |