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1639625213
THANH TANG
SUWANEE, GA
NPI
1639625213
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: GA DN122252)
Additional Taxonomies
122300000X Dentist
(Licence: KY 9743)
Enumeration Date
2016-09-01
Last Update Date
2023-04-19
Business Address
THANH TANG DMD
4162 AZALEA CREST WALK
SUWANEE, GA 30024-3912
Phone number: 678-907-7288
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Mailing Address
THANH TANG DMD
4162 AZALEA CREST WALK
SUWANEE, GA 30024-3912
Phone number: 678-907-7288
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