Provider Demographics
NPI:1902359102
Name:LAL L. THANGA DDS INC
Entity Type:Organization
Organization Name:LAL L. THANGA DDS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:LAL
Authorized Official - Middle Name:L
Authorized Official - Last Name:THANGA
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:626-357-9909
Mailing Address - Street 1:1755 HUNTINGTON DR. #101
Mailing Address - Street 2:
Mailing Address - City:DUARTE
Mailing Address - State:CA
Mailing Address - Zip Code:91010-2567
Mailing Address - Country:US
Mailing Address - Phone:626-357-9909
Mailing Address - Fax:626-358-7245
Practice Address - Street 1:1755 HUNTINGTON DR. #101
Practice Address - Street 2:
Practice Address - City:DUARTE
Practice Address - State:CA
Practice Address - Zip Code:91010-2567
Practice Address - Country:US
Practice Address - Phone:626-357-9909
Practice Address - Fax:626-358-7245
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-07-25
Last Update Date:2022-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty