Individual
LAUREN TANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
16350 N PAT TILLMAN BLVD, STE 120, PHOENIX, AZ 85387
(623) 738-0370
Mailing address
16350 N PAT TILLMAN BLVD, STE 120, SURPRISE, AZ 85387
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D011135
AZ
Other
Enumeration date
10/04/2021
Last updated
04/18/2024
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