Individual
DR. JULIE MEE WAH TANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
3115 E NANCE ST, MESA, AZ 85213-1655
(480) 256-8330
Mailing address
3115 E NANCE ST, MESA, AZ 85213-1655
(480) 256-8330
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D03805
AZ
1223D0001X
Public Health Dentistry
D03805
AZ
1223G0001X
General Practice Dentistry
D03805
AZ
Other
Enumeration date
08/18/2016
Last updated
05/12/2017
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