Individual
DR. LIANG-TSO TUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
145 DON PASQUAL RD NW, LOS LUNAS, NM 87031-8841
(505) 224-8740
Mailing address
145 DON PASQUAL RD NW, LOS LUNAS, NM 87031-8841
(505) 224-8740
Taxonomy
Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
Primary
DD3880
NM
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/01/2012
Last updated
11/22/2013
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