Gary Tang Dental Inc | |
930 N Lake Ave Pasadena CA 91104-4517 | |
(626) 791-5432 | |
(626) 791-5431 |
Full Name | Gary Tang Dental Inc |
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Speciality | Clinic/center - Dental |
Location | 930 N Lake Ave, Pasadena, California |
Authorized Official Name and Position | Gary Tang (DENTIST) |
Authorized Official Contact | 6267915432 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Gary Tang Dental Inc 930 N Lake Ave Pasadena CA 91104-4517 Ph: (626) 791-5432 | Gary Tang Dental Inc 930 N Lake Ave Pasadena CA 91104-4517 Ph: (626) 791-5432 |
NPI Number | 1578063400 |
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Provider Enumeration Date | 02/16/2018 |
Last Update Date | 02/16/2018 |
Identifier | Type | State | Issuer |
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1578063400 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QD0000X | Clinic/center - Dental | 46334 (California) | Primary |
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