DR. Madeleine Wan Yong Tan, BDSC, MDS

NPI #1003395922 in Roslindale, Massachusetts

Provider Information

NPI Number: 1003395922
Entity Type: Individual
Name: DR. Madeleine Wan Yong Tan, BDSC, MDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: BDSC, MDS
Enumeration Date: Aug 10, 2018
Last Updated: Aug 10, 2018

Practice Location

Address: 1200 CENTRE ST
City: Roslindale
State: Massachusetts
ZIP Code: 02131-1000
Phone: (617) 378-2326

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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