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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SOPHEAP TANG DMD DENTAL CORPORATION

Active Organization

SOPHEAP TANG DMD DENTAL CORPORATION is a General Dentistry organization located in RIVERSIDE, California. NPI 1255610242 is currently active in the NPPES registry. Verify at CMS.

General Dentistry · RIVERSIDE, CA

Registration Details

NPI Number
1255610242
Provider Type
Organization
NPI Issued
Aug 9, 2011 (15.02042979308 yrs)
Last Updated
Apr 23, 2020
Licenses
57844 (CA)
58240 (CA)
56393 (CA)

Practice Information

Address
18876 VAN BUREN BLVD
107
RIVERSIDE, CA, 92508
Browse CA providers · Browse ZIP 92508
Phone
9517890200
Fax
9517890245
Primary Specialty
General Dentistry
1223G0001X
Additional Specialty
Pediatric Dentistry
Additional Specialty
General Dentistry
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.