NPI: 1255610242
Provider Name: SOPHEAP TANG DMD DENTAL CORPORATION
Doing Business As: A TOOTH FAIRY DENTAL OFFICE OF SOPHEAP TANG, DMD
Classification: Dentist - 1223G0001X
Entity Type: Organization
Specialization: General Practice
Address:
18876 VAN BUREN BLVD
107
RIVERSIDE, CA
ZIP 92508
Phone: (951) 789-0200
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SOPHEAP TANG DMD DENTAL CORPORATION is a general practice dentist in Riverside, CA. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. SOPHEAP TANG DMD DENTAL CORPORATION NPI is 1255610242. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As A Tooth Fairy Dental Office Of Sopheap Tang, Dmd.
The provider's business location address is:
18876 VAN BUREN BLVD
107
RIVERSIDE, CA
ZIP 92508
Phone: (951) 789-0200
Fax: (951) 789-0245
The provider's authorized official is Sopheap Tang .
The authorized official title is President and has the following contact phone number (951) 789-0200.
The enumeration date for this NPI number is 8/9/2011 and was last updated on 4/23/2020.