Individual
DR. EDWARD GAO TAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1055 SUMMIT DR, LAGUNA BEACH, CA 92651-3430
(760) 828-8850
Mailing address
1055 SUMMIT DR, LAGUNA BEACH, CA 92651-3430
(760) 828-8850
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
109707
CA
Other
Enumeration date
12/22/2023
Last updated
12/22/2023
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