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Organization
TITUS TANG DDS INC
Active
Organization
TITUS TANG DDS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TITUS TANG D.D.S (CEO)
(650) 755-1222
Entity
Organization
Contact information
Practice address
59B SERRAMONTE CTR, DALY CITY, CA 94015-2345
(650) 755-1222
Mailing address
59B SERRAMONTE CTR, DALY CITY, CA 94015-2345
(650) 755-1222
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
52475
CA
122300000X
Dentist
63855
CA
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
60361
CA
Other
Enumeration date
02/11/2016
Last updated
02/11/2016
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