Individual
HIU KWAN ANNIE TANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
125 WALKER ST, NEW YORK, NY 10013-4135
(212) 226-8866
Mailing address
125 WALKER ST, NEW YORK, NY 10013-4135
(212) 226-8866
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
025759
NY
Other
Enumeration date
01/15/2010
Last updated
01/15/2010
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