Individual
DR. JOHANNA MARY TANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
76 HOWE AVE, SHELTON, CT 06484-4160
(203) 924-4488
Mailing address
257 W 117TH ST APT 4G, NEW YORK, NY 10026-2187
(630) 618-8939
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12585
CT
Other
Enumeration date
07/22/2019
Last updated
07/22/2019
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