Individual
MINGHUI TANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
4516 S. DAMEN AVE, IL, IL 60609-2913
(773) 869-0200
Mailing address
740 WEST FULTON STREET, APT706, CHICAGO, IL 60661-2913
(312) 738-0361
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019030876
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/07/2014
Last updated
08/31/2016
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