Tam Dang
Dentist, General Practice in Colorado Springs, CO. Individual provider (NPI-1).
NPI number1316612955
StatusActive
Last updated in NPPESDec 5, 2023
Details
- NPI
- 1316612955
- Entity type
- Individual (NPI-1)
- Name
- Tam Dang
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Aug 16, 2021
- Certification date
- Dec 5, 2023
- Last updated
- Dec 5, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 00204832 | CO | Yes |
Practice location
3141 Centennial BlvdColorado Springs, CO 80907-4094
Phone 719-327-5660
Mailing address
6375 Lehman Dr Ste 200Colorado Springs, CO 80918-1427
Phone 719-593-9182
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