Individual
DR. TAN H. VAN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
22038 W 66TH ST, SHAWNEE, KS 66226-3500
(913) 441-9553
(913) 441-9559
Mailing address
22038 W 66TH ST, SHAWNEE, KS 66226-3500
(913) 441-9553
(913) 441-9559
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
60033
KS
Other
Enumeration date
01/08/2006
Last updated
07/08/2007
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