Justin Tan, DDS

NPI #1235536475 in Longview, Washington

Provider Information

NPI Number
1235536475
Entity Type
Individual
Name
Justin Tan, DDS
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dentist - General Practice
Credential
DDS
Enumeration Date
Dec 3, 2014
Last Updated
Dec 3, 2014

Practice Location

Address
1057 12TH AVE
ZIP Code
98632-2509
Phone
(360) 414-1300

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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