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1053529149
QUINCY CHI-CHIAN TAN
VALLEJO, CA
NPI
1053529149
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: CA 52940)
Enumeration Date
2007-05-20
Last Update Date
2007-07-08
Business Address
Dr. QUINCY CHI-CHIAN TAN DDS
1761 BROADWAY ST STE 224
VALLEJO, CA 94589-2227
Phone number: 707-643-7885
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Mailing Address
Dr. QUINCY CHI-CHIAN TAN DDS
1761 BROADWAY ST STE 224
VALLEJO, CA 94589-2227
Phone number: 707-643-7885
Copy
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