Individual
THANH TANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
4162 AZALEA CREST WALK, SUWANEE, GA 30024-3912
(678) 907-7288
Mailing address
4162 AZALEA CREST WALK, SUWANEE, GA 30024-3912
(678) 907-7288
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
9743
KY
122300000X
Dentist
Primary
DN122252
GA
Other
Enumeration date
09/01/2016
Last updated
04/19/2023
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