Christallyn Tan

NPI #1215188586 in Berkeley, California

Provider Information

NPI Number: 1215188586
Entity Type: Individual
Name: Christallyn Tan
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Enumeration Date: Oct 6, 2008
Last Updated: Oct 6, 2008

Practice Location

Address: 1860 ALCATRAZ AVE
City: Berkeley
State: California
ZIP Code: 94703-2715
Phone: (510) 653-8500

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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