Individual
CHUN TAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
15204 OMEGA DR STE 250, ROCKVILLE, MD 20850-4601
(240) 580-8818
(240) 580-8819
Mailing address
8516 BELLS RIDGE TER, POTOMAC, MD 20854-2793
(443) 763-6658
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
15001
MD
Other
Enumeration date
08/03/2011
Last updated
02/25/2020
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