DR. Mintra Tan, D.D.S.
NPI #1821249426 in East Los Angeles, California
Provider Information
- NPI Number
- 1821249426
- Entity Type
- Individual
- Name
- DR. Mintra Tan, D.D.S.
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist - Pediatric Dentistry
- Credential
- D.D.S.
- Enumeration Date
- Oct 1, 2008
- Last Updated
- Oct 1, 2008
Practice Location
- Address
- 151 S MEDNIK AVE
- City
- East Los Angeles
- State
- California
- ZIP Code
- 90022-1606
- Phone
- (323) 263-3303
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Pediatric Dentistry — Pediatric Dentistry |
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