MISS Maristela Tan, D.M.D.
NPI #1164569646 in Fairfield, California
Provider Information
- NPI Number
- 1164569646
- Entity Type
- Individual
- Name
- MISS Maristela Tan, D.M.D.
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist
- Credential
- D.M.D.
- Enumeration Date
- Jan 31, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 2440 N TEXAS ST
- City
- Fairfield
- State
- California
- ZIP Code
- 94533-1602
- Phone
- (707) 422-4600
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
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