Individual
KENNETH ALDRIC TANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
3130 OLNEY SANDY SPRING RD, OLNEY, MD 20832-1408
(240) 665-5485
Mailing address
3936 LINCOLNSHIRE ST, ANNANDALE, VA 22003-2520
(571) 533-8028
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
18510
MD
1223P0300X
Periodontics
22DI03124600
NJ
1223P0300X
Periodontics
401419351
VA
1223P0300X
Periodontics
DEN2001559
DC
1223P0300X
Periodontics
DS043815
PA
Other
Enumeration date
02/27/2024
Last updated
03/12/2026
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