Individual
MRS. AZIEBONG M ATANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
2019 S SHAVER ST, PASADENA, TX 77502
(713) 477-2900
(713) 477-2995
Mailing address
2019 S SHAVER ST, PASADENA, TX 77502
(713) 477-2900
(713) 477-2995
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
20626
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
143989503
—
TX
Enumeration date
09/29/2006
Last updated
04/12/2012
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