Individual
ROGER G TANS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3121 SPRINGBANK LN, SUITE D, CHARLOTTE, NC 28226-3346
(704) 341-0016
Mailing address
3121 SPRINGBANK LN, SUITE D, CHARLOTTE, NC 28226-3346
(704) 341-0016
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5189
NC
Other
Enumeration date
10/17/2006
Last updated
07/08/2007
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