Quincy Chi-chian Tan DDS

NPI 1053529149 - Dentist - 1223G0001X

NPI Details
NPI 1053529149
Gender Male
Enumeration Date 05/20/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
1761 BROADWAY ST STE 224
VALLEJO CA, 94589-2227, US
Phone (707) 643-7885
Fax (707) 643-8633
Business Location
1761 BROADWAY ST STE 224
VALLEJO CA, 94589-2227, US
Phone (707) 643-7885
Fax (707) 643-8633
Toxanomy
Taxonomy Code 1223G0001X
License State California
License Number 52940
Remove 1053529149 NPI Number
 

According to our database, Dr. Quincy Chi-chian Tan DDS NPI is 1053529149, taxonomy code is 1223G0001X and license number is 52940, license state is located at California. Quincy Chi-chian Tan DDS physically located at 1761 Broadway St Ste 224, Vallejo CA, 94589-2227. NPI Number Quincy Chi-chian Tan DDS has the Individual type.

Sponsored links

1053529149 NPI number is provided on an as is basis without warranty of any kind. 1053529149 is maintained by the National Plan & Provider Enumeration System. The contents of Quincy Chi-chian Tan DDS are for informational purposes only.