SOPHEAP TANG DMD DENTAL CORPORATION

RIVERSIDE, CA
NPI1255610242
Doing Business AsA TOOTH FAIRY DENTAL OFFICE OF SOPHEAP TANG, DMD
Entity TypeOrganization
Authorized ContactSOPHEAP TANG
President
951-789-0200
Organization Subpart ?Yes
Primary Taxonomy1223G0001X Dentist General Practice
(Licence: CA  56393)
Additional Taxonomies1223G0001X Dentist General Practice
(Licence: CA  57844)
1223P0221X Dentist Pediatric Dentistry
(Licence: CA  58240)
Enumeration Date2011-08-09
Last Update Date2020-04-23
Business Address
SOPHEAP TANG DMD DENTAL CORPORATION
18876 VAN BUREN BLVD 107
RIVERSIDE, CA 92508
Phone number: 951-789-0200
Mailing Address
SOPHEAP TANG DMD DENTAL CORPORATION
18876 VAN BUREN BLVD 107
RIVERSIDE, CA 92508
Phone number: 951-789-0200