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Individual

DENNIS CHAO TANG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
2536 163RD ST, FLUSHING, NY 11358-1053
(917) 860-6038
Mailing address
2536 163RD ST, FLUSHING, NY 11358-1053
(917) 860-6038

Taxonomy

Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
030105
NY

Other

Enumeration date
08/20/2018
Last updated
08/20/2018
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