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Individual

DR. ALAN THANH TANG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DDS, CAGS

Contact information

Practice address
405 COCHITUATE RD STE 304, FRAMINGHAM, MA 01701-4648
(508) 424-2525
Mailing address
10 LINWOOD ST APT 301, MALDEN, MA 02148-5655
(617) 875-7708

Taxonomy

Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
21045
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0205010
MASS HEALTH
MA
Enumeration date
07/10/2006
Last updated
07/08/2007
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