Individual
DR. RENZ ANTHONY TAN ANTONIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
34800 BOB WILSON DR, SAN DIEGO, CA 92134-2111
(619) 532-8600
Mailing address
70 EMPIRE CT, MOUNTAIN VIEW, CA 94040-1591
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
103836
CA
1223P0700X
Prosthodontics
Primary
103836
CA
Other
Enumeration date
06/21/2019
Last updated
08/12/2024
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