Provider Demographics
NPI:1699173153
Name:DAVID TAWEI TING DMD APC
Entity type:Organization
Organization Name:DAVID TAWEI TING DMD APC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:TING
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:702-522-2028
Mailing Address - Street 1:4426 APPIAN WAY
Mailing Address - Street 2:
Mailing Address - City:EL SOBRANTE
Mailing Address - State:CA
Mailing Address - Zip Code:94803-2208
Mailing Address - Country:US
Mailing Address - Phone:510-222-1621
Mailing Address - Fax:510-222-1626
Practice Address - Street 1:4426 APPIAN WAY
Practice Address - Street 2:
Practice Address - City:EL SOBRANTE
Practice Address - State:CA
Practice Address - Zip Code:94803-2208
Practice Address - Country:US
Practice Address - Phone:510-222-1621
Practice Address - Fax:510-222-1626
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-12-16
Last Update Date:2014-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty