| Christine Ngoc M Tang | |
|
1207 S Jackson Street Suite #210 Seattle WA 98144 | |
| (206) 324-6843 | |
| Not Available |
| Full Name | Christine Ngoc M Tang |
|---|---|
| Speciality | Dentist |
| Location | 1207 S Jackson Street Suite #210, Seattle, Washington |
| Authorized Official Name and Position | Christine Ngoc My Tang (OWNER) |
| Authorized Official Contact | 2063246843 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Christine Ngoc M Tang 24123 Beeson Place Edmonds WA 98026 Ph: (206) 324-6843 | Christine Ngoc M Tang 1207 S Jackson Street Suite #210 Seattle WA 98144 Ph: (206) 324-6843 |
| NPI Number | 1568520823 |
|---|---|
| Provider Enumeration Date | 12/05/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568520823 | NPI | - | NPPES |
| 5009980 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 6396 (Washington) | Primary |
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