| Katherine C Tan Dmd Inc | |
|
3774 Clairemont Dr San Diego CA 92117-5916 | |
| (858) 274-1219 | |
| Not Available |
| Full Name | Katherine C Tan Dmd Inc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 3774 Clairemont Dr, San Diego, California |
| Authorized Official Name and Position | Katherine Tan (PRESIDENT) |
| Authorized Official Contact | 8582741219 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Katherine C Tan Dmd Inc 3774 Clairemont Dr San Diego CA 92117-5916 Ph: () - | Katherine C Tan Dmd Inc 3774 Clairemont Dr San Diego CA 92117-5916 Ph: (858) 274-1219 |
| NPI Number | 1366222168 |
|---|---|
| Provider Enumeration Date | 09/29/2023 |
| Last Update Date | 09/29/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366222168 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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