Sam Tun Tan D.M.D.

NPI 1194921072 - Dentist - 122300000X

NPI Details
NPI 1194921072
Gender Male
Enumeration Date 06/26/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
425 ESTUDILLO AVE
SUITE C
SAN LEANDRO CA, 94577-4961, US
Phone (510) 483-1543
Fax (510) 483-3180
Business Location
425 ESTUDILLO AVE
SUITE C
SAN LEANDRO CA, 94577-4961, US
Phone (510) 483-1543
Fax (510) 483-3180
Toxanomy
Taxonomy Code 122300000X
License State California
License Number 47570
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According to our database, Dr. Sam Tun Tan D.M.D. NPI is 1194921072, taxonomy code is 122300000X and license number is 47570, license state is located at California. Sam Tun Tan D.M.D. physically located at 425 Estudillo Ave, San Leandro CA, 94577-4961. NPI Number Sam Tun Tan D.M.D. has the Individual type.

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1194921072 NPI number is provided on an as is basis without warranty of any kind. 1194921072 is maintained by the National Plan & Provider Enumeration System. The contents of Sam Tun Tan D.M.D. are for informational purposes only.