Individual
TAM THAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
11625 W BELLEVIEW AVE, LITTLETON, CO 80127-1538
(303) 972-8700
Mailing address
11625 W BELLEVIEW AVE, LITTLETON, CO 80127-1538
(303) 972-8700
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
10517
CO
Other
Enumeration date
07/07/2011
Last updated
07/07/2011
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