IndividualActive
Abraham Tang
NPI 1376963199 · Orthodontics and Dentofacial Orthopedics Dentistry · Bonita, CA
Provider details
- NPI number
- 1376963199
- Entity type
- Individual
- Primary specialty
- Orthodontics and Dentofacial Orthopedics DentistryDental Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 100165 (CA)
Mailing address
Po Box 270061
San Diego, CA 92198-2061
Registry dates
- Enumerated
- 2014-04-19
- Last updated
- 2026-04-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.