Individual
CHRISTALLYN TAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1860 ALCATRAZ AVE, BERKELEY, CA 94703-2715
(510) 653-8500
Mailing address
1860 ALCATRAZ AVE, BERKELEY, CA 94703-2715
(510) 653-8500
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
57398
CA
Other
Enumeration date
10/06/2008
Last updated
10/06/2008
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