Individual
DR. KEVIN CHI CHIEN TAN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
18 GONIC RD, ROCHESTER, NH 03867-3925
(603) 332-7800
Mailing address
4 CRESTVIEW CIR, UNIT #115, LONDONDERRY, NH 03053-2474
(617) 678-0963
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
21009
MA
1223G0001X
General Practice Dentistry
Primary
3432
NH
Other
Enumeration date
06/14/2006
Last updated
07/08/2007
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