Organization
SUNSET DENTAL, LLC
Active
Other names
Family Choice Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIMOTHY TANG NGO DDS (OWNER/DENTIST)
(505) 821-5437
Entity
Organization
Contact information
Practice address
6211 4TH ST NW STE 13, ALBUQUERQUE, NM 87107-5762
(505) 821-5437
Mailing address
6211 4TH ST NW STE 13, ALBUQUERQUE, NM 87107-5762
(505) 634-5541
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
DD4560
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
20832800
—
NM
05
—
30570280
—
NM
Enumeration date
07/05/2017
Last updated
02/06/2020
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