Provider Demographics
NPI:1841382454
Name:TANG, ANDY ZONE (DDS)
Entity Type:Individual
Prefix:DR
First Name:ANDY
Middle Name:ZONE
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 1:5100 E ANAHEIM RD
Mailing Address - Street 2:SUITE B
Mailing Address - City:LONG BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90815-4215
Mailing Address - Country:US
Mailing Address - Phone:562-498-2354
Mailing Address - Fax:562-597-7594
Practice Address - Street 1:5100 E ANAHEIM RD
Practice Address - Street 2:SUITE B
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90815-4215
Practice Address - Country:US
Practice Address - Phone:562-498-2354
Practice Address - Fax:562-597-7594
Is Sole Proprietor?:No
Enumeration Date:2006-09-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA501041223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice