Provider Demographics
NPI:1619026069
Name:TANG, ALEXANDER PANG (DMD)
Entity Type:Individual
Prefix:DR
First Name:ALEXANDER
Middle Name:PANG
Last Name:TANG
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:422 N MILPAS STREET
Mailing Address - Street 2:SUITE 5
Mailing Address - City:SANTA BARBARA
Mailing Address - State:CA
Mailing Address - Zip Code:93103-3192
Mailing Address - Country:US
Mailing Address - Phone:805-962-9000
Mailing Address - Fax:805-962-9000
Practice Address - Street 1:422 N MILPAS STREET
Practice Address - Street 2:SUITE 5
Practice Address - City:SANTA BARBARA
Practice Address - State:CA
Practice Address - Zip Code:93103-3192
Practice Address - Country:US
Practice Address - Phone:805-962-9000
Practice Address - Fax:805-962-9000
Is Sole Proprietor?:No
Enumeration Date:2007-01-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA31138122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist