Individual
MR. DENNIS J TAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6979 W CACTUS WREN DR, GLENDALE, AZ 85303-2684
(623) 915-5491
(623) 915-5491
Mailing address
6979 W CACTUS WREN DR, GLENDALE, AZ 85303-2684
(623) 915-5491
(623) 915-5491
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL9624H
AZ
Other
Enumeration date
09/05/2017
Last updated
07/21/2022
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