Individual
DR. DOLORES RODRIGO TIANGCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
8708 JUSTICE AVE, SUITE 2-O, ELMHURST, NY 11373-4575
(718) 639-8473
(718) 396-2811
Mailing address
8708 JUSTICE AVE, SUITE 2-O, ELMHURST, NY 11373-4575
(718) 639-8473
(718) 396-2811
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
037202-1
NY
1223G0001X
General Practice Dentistry
Primary
037202-1
NY
Other
Enumeration date
04/29/2008
Last updated
04/29/2008
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