DR. Rosita Tan, DMD

NPI #1245625847 in Marina Del Rey, California

Provider Information

NPI Number: 1245625847
Entity Type: Individual
Name: DR. Rosita Tan, DMD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DMD
Enumeration Date: Mar 31, 2015
Last Updated: Mar 31, 2015

Practice Location

Address: 4560 ADMIRALTY WAY
Address 2: STE 350
City: Marina Del Rey
State: California
ZIP Code: 90292-5423
Phone: (310) 822-8481

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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