Provider Demographics
NPI:1205830718
Name:TANG, ERWIN E (DDS)
Entity Type:Individual
Prefix:DR
First Name:ERWIN
Middle Name:E
Last Name:TANG
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14465 WEBB CHAPEL RD
Mailing Address - Street 2:STE 103
Mailing Address - City:FARMERS BRANCH
Mailing Address - State:TX
Mailing Address - Zip Code:75234-3600
Mailing Address - Country:US
Mailing Address - Phone:972-241-8733
Mailing Address - Fax:
Practice Address - Street 1:THE ATRUIM PROFESSIONAL BUILDING
Practice Address - Street 2:14465 WEBB CHAPEL RD. SUITE 103
Practice Address - City:FARMERS BRANCH
Practice Address - State:TX
Practice Address - Zip Code:75234-3600
Practice Address - Country:US
Practice Address - Phone:972-241-8733
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-06-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX138171223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX13817OtherDENTAL STATE LICENSE #