Provider Demographics
NPI:1770156671
Name:DAVID TAI WAI NG DMD A PROFESSIONAL CORPORATION
Entity type:Organization
Organization Name:DAVID TAI WAI NG DMD A PROFESSIONAL CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:TAI WAI
Authorized Official - Last Name:NG
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:626-254-1988
Mailing Address - Street 1:650 W DUARTE RD STE 107
Mailing Address - Street 2:
Mailing Address - City:ARCADIA
Mailing Address - State:CA
Mailing Address - Zip Code:91007-7636
Mailing Address - Country:US
Mailing Address - Phone:626-254-1988
Mailing Address - Fax:626-254-8498
Practice Address - Street 1:650 W DUARTE RD STE 107
Practice Address - Street 2:
Practice Address - City:ARCADIA
Practice Address - State:CA
Practice Address - Zip Code:91007-7636
Practice Address - Country:US
Practice Address - Phone:626-254-1988
Practice Address - Fax:626-254-8498
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-07-20
Last Update Date:2021-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty