Individual
DR. SUEJANE IV TAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
13321 NEW HAMPSHIRE AVE STE 102, SILVER SPRING, MD 20904-3450
(301) 989-3400
(301) 989-1700
Mailing address
300 NOVA CT, SILVER SPRING, MD 20904-5901
(240) 491-6059
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
221266
MD
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/05/2020
Last updated
10/18/2021
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