Rosita D Tan Dmd Inc.
NPI #1255505533 in Marina Del Rey, California
Provider Information
- NPI Number
- 1255505533
- Entity Type
- Organization
- Organization Name
- Rosita D Tan Dmd Inc.
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Apr 17, 2008
- Last Updated
- Sep 22, 2009
Practice Location
- Address
- 4560 ADMIRALTY WAY
- Address 2
- SUITE 350
- City
- Marina Del Rey
- State
- California
- ZIP Code
- 90292-5423
- Phone
- (310) 822-8481
Authorized Official
- Name
- DR. ROSITA D TAN, DMD
- Title
- PRESIDENT
- Phone
- (310) 822-8481
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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