Healthcare Provider Details

I. General information

NPI: 1295836682
Provider Name (Legal Business Name): TSAI & TANG PROFESSIONAL DENTAL CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/26/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

824 N DIAMOND BAR BLVD
DIAMOND BAR CA
91765-1039
US

IV. Provider business mailing address

824 N DIAMOND BAR BLVD
DIAMOND BAR CA
91765-1039
US

V. Phone/Fax

Practice location:
  • Phone: 909-612-4666
  • Fax: 909-612-4676
Mailing address:
  • Phone: 909-612-4666
  • Fax: 909-612-4676

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1223E0200X
TaxonomyEndodontics
License Number45031
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code1223P0700X
TaxonomyProsthodontics
License Number43503
License Number StateCA

VIII. Authorized Official

Name: DR. HONG-MING TANG
Title or Position: PRESIDENT
Credential: D.D.S. M.S.
Phone: 909-612-4666