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Organization

ROGER G. TANS, D.D.S., P.A.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ROGER G TANS D.D.S. (OWNER)
(704) 341-0016
Entity
Organization

Contact information

Practice address
3121 SPRINGBANK LN STE D, CHARLOTTE, NC 28226-3347
(704) 341-0016
Mailing address
3121 SPRINGBANK LN STE D, CHARLOTTE, NC 28226-3347
(704) 341-0016

Taxonomy

Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
5189
NC

Other

Enumeration date
04/10/2008
Last updated
04/10/2008
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