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1003162934
JEFF S TAN
LEWISVILLE, TX
NPI
1003162934
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: TX 28240)
Enumeration Date
2012-07-30
Last Update Date
2012-07-30
Business Address
Dr. JEFF S TAN DDS
930 W MAIN ST
LEWISVILLE, TX 75067-3516
Phone number: 469-444-1595
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Mailing Address
Dr. JEFF S TAN DDS
160 E VISTA RIDGE MALL DR APT #331
LEWISVILLE, TX 75067-3716
Phone number: 213-255-1485
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