DR. Johanna Mary Tang, DDS

NPI #1508419185 in Shelton, Connecticut

Provider Information

NPI Number: 1508419185
Entity Type: Individual
Name: DR. Johanna Mary Tang, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: DDS
Enumeration Date: Jul 22, 2019
Last Updated: Jul 22, 2019

Practice Location

Address: 76 HOWE AVE
City: Shelton
State: Connecticut
ZIP Code: 06484-4160
Phone: (203) 924-4488

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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