Individual
DR. MELANIE PHUONG TANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
4750 AUSTELL RD, AUSTELL, GA 30106-2004
(770) 948-8888
Mailing address
657 VININGS ESTATES DR SE, MABLETON, GA 30126-5907
(678) 294-9089
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN014433
GA
Other
Enumeration date
07/05/2012
Last updated
01/16/2014
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