DR. Irene Ching-Ping Tan, D.D.S.

NPI #1063623536 in Los Altos, California

Provider Information

NPI Number: 1063623536
Entity Type: Individual
Name: DR. Irene Ching-Ping Tan, D.D.S.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: D.D.S.
Enumeration Date: May 25, 2007
Last Updated: Feb 10, 2009

Practice Location

Address: 851 FREMONT AVE
Address 2: SUITE 101
City: Los Altos
State: California
ZIP Code: 94024-5698
Phone: (650) 559-9801

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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