Individual
DR. ALLEN B TAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
6595C ROOSEVELT BLVD, PHILADELPHIA, PA 19149-2918
(215) 743-3700
Mailing address
2116 CHESTNUT ST UNIT 2811, PHILADELPHIA, PA 19103-4564
(516) 508-8116
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
DS043565
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
NY
Other
Enumeration date
05/20/2019
Last updated
01/09/2024
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