Kelvin Tan DMD

NPI 1740489624 - Dentist - 1223G0001X

NPI Details
NPI 1740489624
Gender Male
Enumeration Date 07/12/2007
Last Updated 07/12/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
220 FIRST AVE
DALY CITY CA, 94014, US
Phone (415) 987-9000
Fax
Business Location
23500 KASSON RD.
TRACY CA, 95304, US
Phone (415) 987-9000
Fax
Toxanomy
Taxonomy Code 1223G0001X
License State California
License Number 52939
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According to our database, Kelvin Tan DMD NPI is 1740489624, taxonomy code is 1223G0001X and license number is 52939, license state is located at California. Kelvin Tan DMD physically located at 220 First Ave, Daly City CA, 94014. NPI Number Kelvin Tan DMD has the Individual type.

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1740489624 NPI number is provided on an as is basis without warranty of any kind. 1740489624 is maintained by the National Plan & Provider Enumeration System. The contents of Kelvin Tan DMD are for informational purposes only.