Individual
TAM THANH THI DANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
1470 DORCHESTER AVE, DORCHESTER, MA 02122-1344
(617) 379-3600
(617) 379-3555
Mailing address
18 CENTRE AVE # 2, DORCHESTER, MA 02124-2313
(781) 363-2762
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH90501
MA
Other
Enumeration date
03/02/2022
Last updated
03/02/2022
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