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1629333653
MELANIE PHUONG TANG
AUSTELL, GA
NPI
1629333653
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: GA DN014433)
Enumeration Date
2012-07-05
Last Update Date
2014-01-16
Business Address
Dr. MELANIE PHUONG TANG D.M.D.
4750 AUSTELL RD
AUSTELL, GA 30106-2004
Phone number: 770-948-8888
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Mailing Address
Dr. MELANIE PHUONG TANG D.M.D.
657 VININGS ESTATES DR SE
MABLETON, GA 30126-5907
Phone number: 678-294-9089
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