Organization
TAN H. VAN, DDS, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TAN H. VAN DDS (PRESIDENT)
(913) 441-9553
Entity
Organization
Contact information
Practice address
22038 W 66TH ST, SHAWNEE, KS 66226-3500
(913) 441-9553
(913) 441-9559
Mailing address
23519 W 46TH ST, SHAWNEE, KS 66226-2508
(913) 441-9553
(913) 441-9559
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
60033
KS
Other
Enumeration date
06/18/2008
Last updated
06/18/2008
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