Individual
DR. DANIEL E TAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
25455 BARTON RD, SUITE 203B, LOMA LINDA, CA 92354-3128
(909) 558-6468
Mailing address
25455 BARTON RD, SUITE 203B, LOMA LINDA, CA 92354-3128
(909) 558-6468
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
24898
CA
Other
Enumeration date
12/18/2006
Last updated
07/08/2007
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