Provider Demographics
NPI:1073681110
Name:TANGTRONGSAKDI-FALKOW, NOELLETTE P (DDS, MSD)
Entity Type:Individual
Prefix:DR
First Name:NOELLETTE
Middle Name:P
Last Name:TANGTRONGSAKDI-FALKOW
Suffix:
Gender:F
Credentials:DDS, MSD
Other - Prefix:
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Mailing Address - Street 1:141 CAMINO ALTO
Mailing Address - Street 2:SUITE 5
Mailing Address - City:MILL VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:94941-2246
Mailing Address - Country:US
Mailing Address - Phone:415-388-2876
Mailing Address - Fax:415-388-7982
Practice Address - Street 1:141 CAMINO ALTO
Practice Address - Street 2:SUITE 5
Practice Address - City:MILL VALLEY
Practice Address - State:CA
Practice Address - Zip Code:94941-2246
Practice Address - Country:US
Practice Address - Phone:415-388-2876
Practice Address - Fax:415-388-7982
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-30
Last Update Date:2009-06-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CA397171223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics