DR. Juan Emanuel Tan Santos, D.D.S.

NPI #1700295466 in Newark, California

Provider Information

NPI Number: 1700295466
Entity Type: Individual
Name: DR. Juan Emanuel Tan Santos, D.D.S.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: D.D.S.
Enumeration Date: Aug 7, 2014
Last Updated: Oct 16, 2014

Practice Location

Address: 5270 NEWPARK MALL ROAD
City: Newark
State: California
ZIP Code: 94560
Phone: (510) 791-8118

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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