Individual
ABRAHAM TANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4424 BONITA RD, BONITA, CA 91902-1423
(619) 479-8703
Mailing address
PO BOX 270061, SAN DIEGO, CA 92198-2061
(760) 705-8264
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
100165
CA
Other
Enumeration date
04/19/2014
Last updated
04/20/2026
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