Individual
TIMOTHY TANG NGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
6211 4TH ST NW STE 13, ALBUQUERQUE, NM 87107-5762
(505) 634-5541
Mailing address
6211 4TH ST NW STE 13, ALBUQUERQUE, NM 87107-5762
(505) 821-5437
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DD4560
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30570280
—
NM
Enumeration date
06/23/2016
Last updated
01/21/2020
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