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1073093738
JIMMY TANG
BRONX, NY
NPI
1073093738
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2018-08-21
Last Update Date
2018-08-21
Business Address
Dr. JIMMY TANG DMD
1575 BLONDELL AVE STE 150
BRONX, NY 10461-2661
Phone number: 888-700-6623
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Mailing Address
Dr. JIMMY TANG DMD
111 E 210TH ST
BRONX, NY 10467-2401
Phone number: 888-700-6623
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