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NPI Code Detail

MEDICARE: NATALIE HOANG TANG DMD

MEDICARE: NATALIE HOANG TANG DMD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223P0221XPediatric DentistryDS038889PA

General Provider Information

NPI Number : 1265712384
Entity Type Code : Individual
Provider Name (Legal Business Name) : NATALIE HOANG TANG DMD
Provider Business Mailing Address
First Line : 8566 BUSTLETON AVE
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19152-1218
Country : US
Telephone Number : 215-676-2311
Fax Number :
Provider Business Practice Location Address
First Line : 240 GEIGER RD
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19115-1008
Country : US
Telephone Number : 215-676-2311
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/20/2011
Last Update Date : 10/27/2021

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