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General NPI Number Information
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NPI Number | 1144719873
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Entity Type | Organization
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Legal Business Name | TIEN DANG, DDS PA
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Dates
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Enumeration Date | 05/08/2018
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Last Update Date | 05/08/2018
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Provider Practice Location Address
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Address Line | 4125 WILLIAMS WAY BLVD STE 110
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City | RICHMOND
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State | TX
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Zip | 77469-2504
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Country | US
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Telephone | 832-715-9519
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Fax |
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Provider Business Mailing Address
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Address Line | 5022 SUMMER MANOR LN
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City | SUGAR LAND
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State | TX
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Zip | 77479-4605
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Country | US
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Telephone | 832-715-9519
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Fax |
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Authorized Official
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Title or Position | OWNER/DENTIST
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Name | DR. TIEN DANG
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Credential |
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Telephone | 832-715-9519
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number |
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License Number State |
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