Individual
DR. ALVIN OLIVAS TAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1252 S ABEL ST, MILPITAS, CA 95035-6266
(408) 945-4444
(408) 945-4440
Mailing address
1292 CHESSINGTON DR, SAN JOSE, CA 95131-3601
(408) 891-3456
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
C49224
CA
Other
Enumeration date
10/18/2006
Last updated
07/08/2007
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