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Organization
MARILOU C. TAN, D.D.S. PROFESSIONAL DENTAL CORPORATION
Active
Organization
MARILOU C. TAN, D.D.S. PROFESSIONAL DENTAL CORPORATION
Active
Other names
Pioneer Family Dental Practice
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARILOU C. TAN D.D.S. (PRESIDENT)
(916) 689-3310
Entity
Organization
Contact information
Practice address
7850 STOCKTON BLVD, SUITE #160, SACRAMENTO, CA 95823-4319
(916) 689-3310
Mailing address
7850 STOCKTON BLVD, SUITE #160, SACRAMENTO, CA 95823-4319
(916) 689-3310
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
10/13/2006
Last updated
08/22/2020
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