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1255523593
SOPHEAP TANG
RIVERSIDE, CA
NPI
1255523593
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: CA 56393)
Enumeration Date
2007-08-10
Last Update Date
2020-01-24
Business Address
Dr. SOPHEAP TANG DMD
18876 VAN BUREN BLVD STE 107
RIVERSIDE, CA 92508
Phone number: 951-789-0200
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Mailing Address
Dr. SOPHEAP TANG DMD
18876 VAN BUREN BLVD STE 107
RIVERSIDE, CA 92508-9159
Phone number: 714-809-2265
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