Individual
AMY TANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
551 BROADWAY, EVERETT, MA 02149-3737
(617) 917-2000
Mailing address
551 BROADWAY, EVERETT, MA 02149-3737
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN10001494
MA
Other
Enumeration date
06/11/2026
Last updated
06/11/2026
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