| NPI | 1518179068 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TED HSIANG TANG President 480-633-5653 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AZ 5283) |
| Enumeration Date | 2007-05-05 |
| Last Update Date | 2020-08-22 |