DR. Imelda Celestial Tan, D.M.D

NPI #1023132487 in Honolulu, Hawaii

Provider Information

NPI Number: 1023132487
Entity Type: Individual
Name: DR. Imelda Celestial Tan, D.M.D
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: D.M.D
Enumeration Date: Mar 19, 2007
Last Updated: Jul 9, 2007

Practice Location

Address: 1520 LILIHA ST
Address 2: SUITE 503
City: Honolulu
State: Hawaii
ZIP Code: 96817-3562
Phone: (808) 532-5888

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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