JEFF S TAN

LEWISVILLE, TX
NPI1003162934
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: TX  28240)
Enumeration Date2012-07-30
Last Update Date2012-07-30
Business Address
Dr. JEFF S TAN DDS
930 W MAIN ST
LEWISVILLE, TX 75067-3516
Phone number: 469-444-1595
Mailing Address
Dr. JEFF S TAN DDS
160 E VISTA RIDGE MALL DR APT #331
LEWISVILLE, TX 75067-3716
Phone number: 213-255-1485