Organization
WINNIE TAN, D.D.S.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WINNIE TAN D.D.S. (PRESIDENT)
(323) 268-9386
Entity
Organization
Contact information
Practice address
2621 E 1ST ST, LOS ANGELES, CA 90033-3505
(323) 268-9386
(323) 268-9524
Mailing address
2621 E 1ST ST, LOS ANGELES, CA 90033-3505
(323) 268-9386
(323) 268-9524
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
05/03/2007
Last updated
08/22/2020
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