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General NPI Number Information
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NPI Number | 1225905441
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Entity Type | Organization
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Legal Business Name | CHEN, TANG, & WANG DENTAL CORPORATION
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Dates
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Enumeration Date | 10/22/2025
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Last Update Date | 10/22/2025
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Provider Practice Location Address
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Address Line | 1240 SCOTT BLVD
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City | SANTA CLARA
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State | CA
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Zip | 95050-4517
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Country | US
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Telephone | 408-459-5429
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Fax |
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Provider Business Mailing Address
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Address Line | 1240 SCOTT BLVD
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City | SANTA CLARA
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State | CA
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Zip | 95050-4517
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Country | US
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Telephone | 408-459-5429
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | DR. YIN TANG
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Credential | DDS
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Telephone | 781-333-1428
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number |
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License Number State |
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