Jennifer Tan, DDS

NPI #1689788093 in Waianae, Hawaii

Provider Information

NPI Number: 1689788093
Entity Type: Individual
Name: Jennifer Tan, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Aug 19, 2006
Last Updated: Aug 4, 2008

Practice Location

Address: 86-260 FARRINGTON HWY
City: Waianae
State: Hawaii
ZIP Code: 96792-3128
Phone: (808) 697-3300

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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