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Organization
TAN H. VAN, DDS, P.A.
Active
Organization
TAN H. VAN, DDS, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TAN H. VAN DDS (PRESIDENT)
(913) 441-9553
Entity
Organization
Contact information
Practice address
22038 W 66TH ST, SHAWNEE, KS 66226-3500
(913) 441-9553
(913) 441-9559
Mailing address
23519 W 46TH ST, SHAWNEE, KS 66226-2508
(913) 441-9553
(913) 441-9559
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
60033
KS
Other
Enumeration date
06/18/2008
Last updated
06/18/2008
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