Organization
F&J TAN, LLC D/B/A SMILES ON CASS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JENNIFER S TAN DDS (OFFICER)
(630) 605-0837
Entity
Organization
Contact information
Practice address
7339 CASS AVE, DARIEN, IL 60561-3660
(331) 481-9302
Mailing address
7339 S. CASS AVE, DARIEN, IL 60561-1501
(331) 481-9302
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
08/02/2013
Last updated
07/13/2015
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