Individual
CALVIN TAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
725 I ST, LOS BANOS, CA 93635-4308
(209) 826-1094
(209) 826-7808
Mailing address
737 W CHILDS AVE, MERCED, CA 95341-6805
(209) 383-1848
(209) 383-1296
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
62874
CA
Other
Enumeration date
11/04/2013
Last updated
05/19/2014
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