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Organization
ROSITA D TAN DMD INC.
Active
Organization
ROSITA D TAN DMD INC.
Active
Other names
Rosita D. Tan DMD
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROSITA D TAN DMD (PRESIDENT)
(310) 822-8481
Entity
Organization
Contact information
Practice address
4560 ADMIRALTY WAY, SUITE 350, MARINA DEL REY, CA 90292-5423
(310) 822-8481
(310) 822-8083
Mailing address
4560 ADMIRALTY WAY, SUITE 350, MARINA DEL REY, CA 90292
(310) 822-8481
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
40027
CA
Other
Enumeration date
04/17/2008
Last updated
09/22/2009
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