MRS. Tina S. Tan, DM.D

NPI #1134523103 in Mt Prospect, Illinois

Provider Information

NPI Number: 1134523103
Entity Type: Individual
Name: MRS. Tina S. Tan, DM.D
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: DM.D
Enumeration Date: Oct 20, 2014
Last Updated: Oct 20, 2014

Practice Location

Address: 214 S EMERSON ST
City: Mt Prospect
State: Illinois
ZIP Code: 60056-3247
Phone: (847) 577-7500

Specialties & Taxonomy Codes

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

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