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Organization
KEVIN TAN DDS INC
Active
Organization
KEVIN TAN DDS INC
Active
Other names
Kevin Tan DDS Inc
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN BRANDON TAN DDS (DENTIST)
(909) 633-2303
Entity
Organization
Contact information
Practice address
11665 AVENA PL STE 105, SAN DIEGO, CA 92128-2427
(858) 674-6161
(858) 674-6162
Mailing address
7823 STYLUS DR, SAN DIEGO, CA 92108-2620
(909) 633-2303
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
04/11/2023
Last updated
08/17/2023
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