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Sopheap Tang Dmd Dental Corporation
Pediatric Dentist in Riverside, California
NPI 1255610242

Sopheap Tang Dmd Dental Corporation is a Pediatric Dentist based in Riverside, CA and is specialized in Pediatric Dentistry. Sopheap Tang Dmd Dental Corporation practices in Riverside, CA. The NPI Number for Sopheap Tang Dmd Dental Corporation is 1255610242 and holds a License No. 56393 (California).

The current practice location address for Sopheap Tang Dmd Dental Corporation is 18876 Van Buren Blvd, Riverside, CA and can be reached out via phone at 951-789-0200 and via fax at 951-789-0245.

Location: 18876 Van Buren Blvd, Riverside, CA, 92508
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1255610242
Provider Name
Sopheap Tang Dmd Dental Corporation
Credential
Provider Entity Type
Organization
Address
18876 Van Buren Blvd, Riverside, CA, 92508
Phone Number
951-789-0200
Fax Number
951-789-0245
Provider Enumeration Date
08/09/2011
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1255523593 05 CA
institution
Provider Business Practice Location Address Details
Address
18876 Van Buren Blvd
City
Riverside
State
California
Zip
92508
Phone Number
951-789-0200
Fax Number
951-789-0245
person
Provider Business Mailing Address Details
Address
18876 Van Buren Blvd
City
Riverside
State
California
Zip
92508
Phone Number
951-789-0200
Fax Number
951-789-0245
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
57844 (California)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
person
Provider's Taxonomy Details 2
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
56393 (California)
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
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