Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Dental |
261QD0000X |
| NPI # | 1124685326 |
| LBN Legal business name | TIN MAUNG MAUNG DDS |
| DBA Doing business as | EMERALD DENTISTRY |
| Authorized official | PERLA QUINTANA - (OM) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 05/22/2019 |
| Last updated | 05/27/2019 - About 7 years ago |
| Identifiers | n/a |
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