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Individual

KENNETH ALDRIC TANG

Active
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Individual

KENNETH ALDRIC TANG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DMD

Taxonomy

Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
18510
MD
1223P0300X
Periodontics
22DI03124600
NJ
1223P0300X
Periodontics
401419351
VA
1223P0300X
Periodontics
DEN2001559
DC
1223P0300X
Periodontics
DS043815
PA

Other

Enumeration date
02/27/2024
Last updated
03/12/2026
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