Individual
DR. VERA W. L. TANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S., M.S.
Contact information
Practice address
1097 OLD COUNTRY RD, SUITE 206, PLAINVIEW, NY 11803-6505
(516) 681-9500
Mailing address
94-01 FRANCIS LEWIS BLVD., QUEENS VILLAGE, NY 11428-1517
(718) 740-8257
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
0502401
NY
Other
Enumeration date
05/24/2007
Last updated
07/08/2007
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