Organization
TAN, DDS AND TRAN, DDS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MINTRA TAN DDS (CFO)
(323) 263-3303
Entity
Organization
Contact information
Practice address
151 S MEDNIK AVE, LOS ANGELES, CA 90022-1606
(323) 263-3303
Mailing address
151 S MEDNIK AVE, LOS ANGELES, CA 90022-1606
(323) 263-3303
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
53108
CA
Other
Enumeration date
12/11/2012
Last updated
06/25/2013
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