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General NPI Number Information
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NPI Number | 1295836682
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Entity Type | Organization
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Legal Business Name | TSAI & TANG PROFESSIONAL DENTAL CORPORATION
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Dates
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Enumeration Date | 09/26/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 824 N DIAMOND BAR BLVD
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City | DIAMOND BAR
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State | CA
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Zip | 91765-1039
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Country | US
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Telephone | 909-612-4666
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Fax | 909-612-4676
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Provider Business Mailing Address
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Address Line | 824 N DIAMOND BAR BLVD
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City | DIAMOND BAR
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State | CA
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Zip | 91765-1039
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Country | US
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Telephone | 909-612-4666
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Fax | 909-612-4676
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. HONG-MING TANG
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Credential | D.D.S. M.S.
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Telephone | 909-612-4666
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223E0200X
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Taxonomy Name | Endodontics
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License Number | 45031
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 1223P0700X
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Taxonomy Name | Prosthodontics
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License Number | 43503
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License Number State | CA
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