DR. Quincy Chi-Chian Tan, DDS

NPI #1053529149 in Vallejo, California

Provider Information

NPI Number
1053529149
Entity Type
Individual
Name
DR. Quincy Chi-Chian Tan, DDS
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dentist - General Practice
Credential
DDS
Enumeration Date
May 20, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
1761 BROADWAY ST STE 224
ZIP Code
94589-2227
Phone
(707) 643-7885

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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