Individual
DR. CAROLYN ONG TAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
828 S MOONEY BLVD, VISALIA, CA 93277-2212
(559) 802-4300
Mailing address
828 S MOONEY BLVD, VISALIA, CA 93277-2212
(559) 802-4300
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
59201
CA
Other
Enumeration date
12/12/2016
Last updated
02/19/2017
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