James Kim Tan D.D.S.

NPI 1609141530 - Student in an Organized Health Care Education/Training Program - 390200000X

NPI Details
NPI 1609141530
Gender Male
Enumeration Date 03/10/2012
Last Updated 12/09/2015
Entity Type Individual
Active Over 4 years ago
Practice Location
5803 CANDLEWOOD ST
LAKEWOOD CA, 90713-1828, US
Phone (562) 882-4208
Fax
Business Location
5803 CANDLEWOOD ST
LAKEWOOD CA, 90713-1828, US
Phone (562) 882-4208
Fax
Toxanomy
Taxonomy Code 390200000X
License State
License Number
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According to our database, Dr. James Kim Tan D.D.S. NPI is 1609141530, taxonomy code is 390200000X James Kim Tan D.D.S. physically located at 5803 Candlewood St, Lakewood CA, 90713-1828. NPI Number James Kim Tan D.D.S. has the Individual type.

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1609141530 NPI number is provided on an as is basis without warranty of any kind. 1609141530 is maintained by the National Plan & Provider Enumeration System. The contents of James Kim Tan D.D.S. are for informational purposes only.