Sopheak Tang
Sopheak Tang is an Optician in Wallingford, Connecticut. Practices as a sole proprietor. Licensed in Connecticut.
- Licensed in
- CT
- In the registry since
- 2023
Practice location Address checks out
174 Center StWallingford, CT 06492-4146
Phone: (203) 793-7948
Fax: (203) 678-4156
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Specialties & licences
| Optician (primary) | Taxonomy 156FX1800X · Licence 1584 (CT) |
|---|
Record details
| NPI number | 1841990637 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | March 9, 2023 |
| Last updated in NPPES | April 26, 2023 |
| Certification date | April 26, 2023 |
| Mailing address | 174 Center St, Wallingford, CT 06492-4146 |
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