Organization
ADVANCED SKIN CLINIC & SURGERY, PC
Active
Organization
ADVANCED SKIN CLINIC & SURGERY, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAN NGUYEN MD (OWNER)
(909) 946-8600
Entity
Organization
Contact information
Practice address
1310 SAN BERNARDINO RD, SUITE 207, UPLAND, CA 91786-4979
(909) 946-8600
(909) 946-8604
Mailing address
1310 SAN BERNARDINO RD, SUITE 207, UPLAND, CA 91786-4979
(909) 946-8600
(909) 946-8604
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Enumeration date
12/08/2010
Last updated
08/08/2011
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