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1083446892
EDRICK TAN
SAN JOSE, CA
NPI
1083446892
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: CA 110427)
Enumeration Date
2024-08-19
Last Update Date
2024-08-19
Business Address
EDRICK TAN DDS
1315 S WINCHESTER BLVD
SAN JOSE, CA 95128-4320
Phone number: 408-866-1819
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Mailing Address
EDRICK TAN DDS
521 E LONGDEN AVE
ARCADIA, CA 91006-5351
Phone number:
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