QUINCY CHI-CHIAN TAN

VALLEJO, CA
NPI1053529149
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: CA  52940)
Enumeration Date2007-05-20
Last Update Date2007-07-08
Business Address
Dr. QUINCY CHI-CHIAN TAN DDS
1761 BROADWAY ST STE 224
VALLEJO, CA 94589-2227
Phone number: 707-643-7885
Mailing Address
Dr. QUINCY CHI-CHIAN TAN DDS
1761 BROADWAY ST STE 224
VALLEJO, CA 94589-2227
Phone number: 707-643-7885