Individual
VAN KHANH TANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
7106
NV
1223P0221X
Pediatric Dentistry
Primary
010298
AZ
Other
Enumeration date
03/26/2018
Last updated
11/08/2023
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