Dr. San Khoen Tan, D.D.S
Dentist, General Practice in La Puente, CA. Individual provider (NPI-1).
NPI number1194861815
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1194861815
- Entity type
- Individual (NPI-1)
- Name
- Dr. San Khoen Tan
- Credential
- D.D.S
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jan 29, 2007
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 24645 | CA | Yes |
Practice location
542 Workman Mill RdLa Puente, CA 91746-2436
Phone 626-333-0191
Mailing address
542 Workman Mill RdLa Puente, CA 91746-2436
Phone 626-333-0191
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