Kevin Tan DDS LLC

NPI #1962389106 in Las Vegas, Nevada

Provider Information

NPI Number: 1962389106
Entity Type: Organization
Organization Name: Kevin Tan DDS LLC
Primary Specialty: Dentist - General Practice
Enumeration Date: Aug 19, 2025
Last Updated: Aug 19, 2025

Practice Location

Address: 4205 S GRAND CANYON DR STE 19
City: Las Vegas
State: Nevada
ZIP Code: 89147-7152
Phone: (702) 805-1117

Authorized Official

Name: DR. KEVIN TAN, DDS
Title: OWNER DENTIST
Phone: (702) 805-1117

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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