Individual
DR. RYAN TANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6206 W BELL RD STE 1, GLENDALE, AZ 85308-3750
(623) 773-1991
Mailing address
6920 W BRILES RD, PEORIA, AZ 85383-7016
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
D011958
AZ
122300000X
Dentist
Primary
DDS109871
CA
Other
Enumeration date
10/04/2023
Last updated
04/28/2025
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