Provider Demographics
NPI:1598049546
Name:TSANG, DAVID DAJIA (DMD)
Entity type:Individual
Prefix:DR
First Name:DAVID
Middle Name:DAJIA
Last Name:TSANG
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4723 HIGHWAY 6
Mailing Address - Street 2:
Mailing Address - City:MISSOURI CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77459-3988
Mailing Address - Country:US
Mailing Address - Phone:812-610-5552
Mailing Address - Fax:281-261-5559
Practice Address - Street 1:4723 HIGHWAY 6
Practice Address - Street 2:
Practice Address - City:MISSOURI CITY
Practice Address - State:TX
Practice Address - Zip Code:77459-3988
Practice Address - Country:US
Practice Address - Phone:281-261-0555
Practice Address - Fax:281-261-5559
Is Sole Proprietor?:Yes
Enumeration Date:2011-10-07
Last Update Date:2021-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX300531223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice